OrganizationActive
Tracemark Pharmacy
NPI 1215254305 · Community/Retail Pharmacy · Philadelphia, PA
Tracemark Pharmacy is a Community/Retail Pharmacy organization in Philadelphia, PA (NPI 1215254305).
Provider details
- NPI number
- 1215254305
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Bevis Vanterpool, Pharmacy Owner(215) 668-4494
- License
- PP481991 (PA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
4839 N Broad St
Philadelphia, PA 19141-2107
Phone: (215) 324-0800
Fax: (215) 324-0803
Street-level locationGet directions
Mailing address
4839 N Broad St
Philadelphia, PA 19141-2107
Registry dates
- Enumerated
- 2010-04-28
- Last updated
- 2010-04-28
Frequently asked questions
- What is Tracemark Pharmacy's NPI number?
- Tracemark Pharmacy's National Provider Identifier (NPI) is 1215254305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tracemark Pharmacy?
- Tracemark Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Tracemark Pharmacy located?
- Tracemark Pharmacy's practice location on file with NPPES is 4839 N Broad St, Philadelphia, PA 19141-2107.
- What is Tracemark Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Tracemark Pharmacy is (215) 324-0800.
- Who is the authorized official for Tracemark Pharmacy?
- The authorized official listed on Tracemark Pharmacy's NPPES record is Bevis Vanterpool, Pharmacy Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tracemark Pharmacy's NPI active?
- Yes — Tracemark Pharmacy's NPI (1215254305) is active in the NPPES registry as of the last update on 2010-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.