Pennsylvania Virtual Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PENNSYLVANIA VIRTUAL CHARTER SCHOOL

Practice address

1 W Main St
Suite 400
Norristown, PA 19401-4766

Phone

(610) 275-8501

Fax

(610) 275-1719

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Kim Cook

Title

Related Service Coordinator

Phone

(610) 275-8500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1023275302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "address_2": "SUITE 400",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194014766",
            "telephone_number": "610-275-8501",
            "fax_number": "610-275-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "address_2": "SUITE 400",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194014766",
            "telephone_number": "610-275-8501",
            "fax_number": "610-275-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA VIRTUAL CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "RELATED SERVICE COORDINATOR",
        "authorized_official_telephone_number": "610-275-8500"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019223700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine G Pendrak, DO
• Pennsquaredentalassociates P.C.
• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania Department of Human Services
• Jeannette Pepe, M.S. CCC-SLP
• Gina Marie Peraino, D.O.
• Mirta Perez-Betancourt, LPC
• Kristine Marie Perez, LPC
• Melody Perkins, C.O.T.A.

• Local Education Agency (LEA) in Norristown, PA
• Providers in Norristown, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.