Mybrand-RX LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

PP482173 Issued in PA

Legal business name

MYBRAND-RX LLC

Practice address

159 Gibraltar Rd
Horsham, PA 19044-2303

Phone

(855) 899-4084

Fax

(855) 899-4090

NPI assigned

Aug 9, 2011

Organization subpart

No

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

Authorized official

Name

Michele Shubin

Title

Pharmacist in Charge

Phone

(888) 850-5545

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MyBrand-Rx Doing business as

Locations

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1073892014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194440452",
            "telephone_number": "888-850-5545",
            "fax_number": "888-651-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 GIBRALTAR RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442303",
            "telephone_number": "855-899-4084",
            "fax_number": "855-899-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYBRAND-RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "SHUBIN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "888-850-5545"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "PA",
            "license": "PP482173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3996040",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyBrand-Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mail Order Pharmacy in Horsham, PA
• Providers in Horsham, PA by specialty
• Mail Order Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.