Active NPI
Marvin Thomas Pathrose, PHARMD.
- Pharmacist
- Newtown Square, PA
National Provider Identifier
1043007610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP451018
- Practice address
- 3930 W Chester Pike
Newtown Square, PA 19073-3209 - Phone
- (610) 353-2061
- NPI assigned
- Apr 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP451018 | PA | Primary |
Addresses
Primary practice location
3930 W Chester Pike
Newtown Square, PA 19073-3209
Mailing address
416 E Leamy Ave
Springfield, PA 19064-3020
Phone (484) 832-3572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP451018 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1043007610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 E LEAMY AVE",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190643020",
"telephone_number": "484-832-3572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 W CHESTER PIKE",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733209",
"telephone_number": "610-353-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATHROSE",
"first_name": "MARVIN",
"middle_name": "THOMAS",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-24",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP451018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.