East Norriton Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482767 Issued in PA

Legal business name

EAST NORRITON PHARMACY LLC

Doing business as

East Norriton Pharmacy

Practice address

215 W Germantown Pike
East Norriton, PA 19401-1331

Phone

(484) 370-1111

Fax

(484) 751-5245

NPI assigned

Dec 19, 2017

Organization subpart

No

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

Authorized official

Name

Manzil PanchalNPI 1548651326

Title

Pharmacy Manager

Phone

(484) 370-1111

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• East Norriton Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

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

• Manzil Panchal

  • Pharmacist
  • East Norriton, PA
  • NPI 1548651326
  NPD Authorized official
• Young Eun Kim, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • East Norriton, PA
  • NPI 1568036051
  NPD (past)
• Hiral Patel, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Horsham, PA
  • NPI 1023607702
  NPD (past)

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1073029658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011331",
            "telephone_number": "484-370-1111",
            "fax_number": "484-751-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011331",
            "telephone_number": "484-370-1111",
            "fax_number": "484-751-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST NORRITON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "PANCHAL",
        "authorized_official_first_name": "MANZIL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "484-370-1111"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482767",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103446151 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175571",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0610763",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Norriton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Paul Duffell
• Celia Elise Dugger
• Katherine Durrwachter-Erno, M.D.
• Eagles Oral Surgery
• Hgech Hiek Ear Sohan, PA-C
• East Norriton Pharmacy LLC
• East Norriton Physicians Services (Mercy Sports Medicine)
• East Norriton Physicians Services (Mercy Family Medicine of East Norriton)
• East Norriton Physicians Services (ENPS Radiology Group)
• East Norriton Physicians Services (Dr Jeffrey Brand)

• Community/Retail Pharmacy in East Norriton, PA
• Providers in East Norriton, 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 Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.