Esterbrook WRD Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412856L Issued in PA

Legal business name

ESTERBROOK WRD PHARMACY LLC

Practice address

538 Penn Ave
West Reading, PA 19611-1036

Phone

(610) 375-4366

Fax

(610) 372-7710

NPI assigned

Sep 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric EsterbrookNPI 1689671091

Title

Manager/Member

Phone

(484) 269-7751

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• West Reading Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Esterbrook, R.PH.

  • Pharmacist
  • West Lawn, PA
  • NPI 1689671091
  NPD Authorized official
• Erin Elizabeth Hill, PHARMD

  • Pharmacist
  • West Reading, PA
  • NPI 1134717358
  NPD (past)
• Thomas Mancuso

  • Pharmacist
  • West Reading, PA
  • NPI 1578150900
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1013011071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 PENN AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111036",
            "telephone_number": "610-375-4366",
            "fax_number": "610-372-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 PENN AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111036",
            "telephone_number": "610-375-4366",
            "fax_number": "610-372-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTERBROOK WRD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "ESTERBROOK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "484-269-7751"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412856L",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103138879",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Reading Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth D Emkey, M.D.
• Russell Emrich, M.D.
• Laura A Engle, PA-C
• Jessica Ashley Ertel, PA-C
• Esterbrook Pharmacy LLC
• Aditya Eturi, MD
• Rosamond A Everard, MD
• Eric Fabien, CRNP
• Logan Henry Fairchild, DO
• Edward C. Fallon, M.D.

• Community/Retail Pharmacy in West Reading, PA
• Providers in West Reading, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.