Organization Active NPI

PBM Enterprises

  • Community/Retail Pharmacy
  • Glen Mills, PA
National Provider Identifier
1053627943
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PBM ENTERPRISES
Practice address
364 Wilmington Pike
A-5
Glen Mills, PA 19342-1261
Phone
(267) 979-3948
Fax
(610) 485-2459
NPI assigned
Aug 30, 2010
Last updated
Aug 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Dr. Mark Robert Lawson, PHARM.D., MBA
Title
Partner
Phone
(267) 979-3948

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

364 Wilmington Pike
A-5
Glen Mills, PA 19342-1261

Mailing address

364 Wilmington Pike
A-5
Glen Mills, PA 19342-1261
Phone (267) 979-3948

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1053627943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 WILMINGTON PIKE",
            "address_2": "A-5",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421261",
            "telephone_number": "267-979-3948",
            "fax_number": "610-485-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 WILMINGTON PIKE",
            "address_2": "A-5",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421261",
            "telephone_number": "267-979-3948",
            "fax_number": "610-485-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBM ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "267-979-3948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D., MBA"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.