Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pennsport Mall Pharmacy LLC

Organization Pharmacy · NPI 1366817991

Pennsport Mall Pharmacy LLC is a Pharmacy in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

237 McClellan St
Philadelphia, PA 19148-1954
Phone: (267) 639-4657
Fax: (267) 687-2583
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PP482611 (PA)
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1366817991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gino Cuffari — Manager/Owner · (267) 340-7534
Other names Pennsport Mall Pharmacy
NPI enumeratedDecember 8, 2015
Last updated in NPPESSeptember 19, 2025
Mailing address237 McClellan St, Philadelphia, PA 19148

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