Fairmount Pharmacy Inc
NPI 1073511242 · Community/Retail Pharmacy · Philadelphia, PA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairmount Pharmacy Inc is a Community/Retail Pharmacy organization in Philadelphia, PA (NPI 1073511242).
Provider details
- NPI number
- 1073511242
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gerard Volgraf, Pharmacist Manager and Vp(215) 567-0364
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
433 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Pneumococcal, Influenza, Hepatitis B, And/Or Covid-19 Vaccine Inside a Patient'S Home; Reported Only Once Per Individual Home Per Date of Service When Such Vaccine Administration(s) Are Performed at the Patient'S HomeM0201 | 168 | $39 |
| Admn Sarscov2 Vacc 1 Dose90480 | 163 | $44 |
| Administration of Influenza Virus VaccineG0008 | 102 | $33 |
Typical Medicare-allowed amounts for these services range $33–$44 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fairmount Pharmacy Inc
Registry dates
- Enumerated
- 2005-07-12
- Last updated
- 2015-02-23
Frequently asked questions
- What is Fairmount Pharmacy Inc's NPI number?
- Fairmount Pharmacy Inc's National Provider Identifier (NPI) is 1073511242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairmount Pharmacy Inc?
- Fairmount Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Fairmount Pharmacy Inc located?
- Fairmount Pharmacy Inc's practice location on file with NPPES is 1900 Green St, Philadelphia, PA 19130-3207.
- What is Fairmount Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Fairmount Pharmacy Inc is (215) 567-0364.
- Does Fairmount Pharmacy Inc accept Medicare?
- Fairmount Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fairmount Pharmacy Inc?
- The authorized official listed on Fairmount Pharmacy Inc's NPPES record is Gerard Volgraf, Pharmacist Manager and Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairmount Pharmacy Inc's NPI active?
- Yes — Fairmount Pharmacy Inc's NPI (1073511242) is active in the NPPES registry as of the last update on 2015-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.