Active NPIIndividual provider

Dr. Serena N Fasola, PHARMD

Pharmacist in Bala Cynwyd, Pennsylvania

NPI Number1104730555
Practice location
121 E City Ave, Bala Cynwyd, PA 19004-2485
Fax
—
Last updated
October 1, 2026

Serena Nicole Fasola is a Pharmacist based in Bala Cynwyd, PA. Serena Nicole Fasola practices in Bala Cynwyd, PA and has the professional credentials of PHARMD. The NPI Number for Serena Nicole Fasola is 1104730555 and holds a License No. RP460768 (PA). The current practice location address for Serena Nicole Fasola is 121 E City Ave, Bala Cynwyd, PA 19004-2485 and can be reached out via phone at 610-667-7051.

Provider Profile Details

NPI Number
1104730555
Provider Name
Serena Nicole Fasola
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
121 E City Ave, Bala Cynwyd, PA 19004-2485
Phone Number
610-667-7051
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
October 1, 2026
Last Update Date
October 1, 2026
Certification Date
October 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 E City Ave
Bala Cynwyd, PA 19004-2485
Zip
19004-2485
Phone Number
610-667-7051
Bala Cynwyd, PA 19004Get directions →

Provider Business Mailing Address Details

Address
24 Buckingham Dr
Egg Harbor Twp, NJ 08234-7253
City
Egg Harbor Twp
State
NJ
Zip
08234-7253
Phone Number
609-892-8394

License Information

License Number
RP460768
License State
PA
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Serena N Fasola, PHARMD?

The NPI number of Dr. Serena N Fasola, PHARMD is 1104730555. It was assigned on October 1, 2026 and is currently active in the NPPES registry.

What is the specialty of Dr. Serena N Fasola, PHARMD?

Dr. Serena N Fasola, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in PA under license number RP460768.

Where does Dr. Serena N Fasola, PHARMD practice?

The practice location is 121 E City Ave, Bala Cynwyd, PA 19004-2485. The office can be reached at 610-667-7051 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104730555 directly on the NPPES registry website.

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