Boothwyn Pharmacy LLC
Boothwyn Pharmacy LLC is a healthcare organization registered as Compounding Pharmacy in Kennett Square, PA, holding Type 2 (organization) NPI 1861561714 since 2006. The authorized official on file is Louis Micolucci, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1861561714 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Boothwyn Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 221 GALE LN, Kennett Square, PA, 19348 |
| Phone | 8004767496 |
| Fax | 6104974371 |
| Enumeration date | 2006-11-07 |
| Last updated in NPPES | 2017-03-20 |
Authorized official
| Name | Louis Micolucci |
|---|---|
| Title | Owner |
| Phone | 6104851130 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336S0011X | Specialty Pharmacy | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Primary | PP410228L | PA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7P228L | Medicaid | SC | — |
| 200887500A | Medicaid | IN | — |
| 2082253 | Other | — | PK |
| 7100087360 | Medicaid | KY | — |
| 0936230001 | Medicaid | NE | — |
| 0014804650002 | Medicaid | PA | — |
Copy-ready billing details
Provider: Boothwyn Pharmacy LLC NPI: 1861561714 Taxonomy: 3336C0004X (Compounding Pharmacy) Address: 221 GALE LN, Kennett Square, PA, 19348
Verify this record
Cross-check NPI 1861561714 against the authoritative CMS record: view Boothwyn Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Boothwyn Pharmacy LLC?
Who is the authorized official for Boothwyn Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-03-20.