Foulkeways at Gwynedd Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PP413422L Issued in PA

Legal business name

FOULKEWAYS AT GWYNEDD PHARMACY INC

Practice address

1120 Meetinghouse Rd.
Gwynedd, PA 19436

Phone

(215) 283-7057

Fax

(267) 464-4132

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Trella, PHARMD

Title

Pharmacy Manager

Phone

(215) 283-7057

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1093883969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MEETINGHOUSE RD.",
            "city": "GWYNEDD",
            "state": "PA",
            "postal_code": "19436",
            "telephone_number": "215-283-7057",
            "fax_number": "267-464-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MEETINGHOUSE RD.",
            "city": "GWYNEDD",
            "state": "PA",
            "postal_code": "19436",
            "telephone_number": "215-283-7057",
            "fax_number": "267-464-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOULKEWAYS AT GWYNEDD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "TRELLA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "215-283-7057",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413422L",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP413422L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Mary Boyle-Giannini, CRNP
• Nataliya Dementovych, M.D
• Foulkeways at Gwynedd
• Foulkeways at Gwynedd
• Anna M. Gard, C.R.N.P.
• Joy Louise Haynie, PT, DPT
• Barbara C Ladzinski, CRNP
• Denise T Lannon, RPH

• Long Term Care Pharmacy in Gwynedd, PA
• Providers in Gwynedd, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.