Organization Active NPI

Birdsboro Pharmacy Inc

  • Long Term Care Pharmacy
  • Birdsboro, PA
National Provider Identifier
1043946288
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BIRDSBORO PHARMACY INC
Practice address
200 W 1St St Ste 3a
Birdsboro, PA 19508-2254
Phone
(610) 582-4005
Fax
(610) 404-4512
NPI assigned
Jul 29, 2022
Organization subpart
Yes
Parent organization
BIRDSBORO PHARMACY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Martin John Kendra, RPHNPI 1396897443
Title
President
Phone
(610) 582-4005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

200 W 1St St Ste 3a
Birdsboro, PA 19508-2254

Mailing address

200 W 1St St Ste 3a
Birdsboro, PA 19508-2254
Phone (610) 582-4005

National Provider Directory

National Provider Directory
Part of
Birdsboro Pharmacy Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1043946288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST STE 3A",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195082254",
            "telephone_number": "610-582-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST STE 3A",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195082254",
            "telephone_number": "610-582-4005",
            "fax_number": "610-404-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRDSBORO PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIRDSBORO PHARMACY INC.",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "KENDRA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-582-4005",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birdsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.