Active NPI
John A Coutros, RPH
- Pharmacist
- Dresher, PA
National Provider Identifier
1104053131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP-030407L
- Practice address
- 1650 Limekiln Pike
Dresher, PA 19025-1114 - Phone
- (215) 628-4404
- Fax
- (215) 628-3620
- NPI assigned
- Jun 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP-030407L | PA | Primary |
| Pharmacist | 183500000X | 28RI01530100 | NJ |
Addresses
Primary practice location
1650 Limekiln Pike
Dresher, PA 19025-1114
Mailing address
81 Creek Rd
PO Box 31
Chalfont, PA 18914
Phone (215) 822-7930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01530100 | NJ | MD | Pharmacist |
| RP-030407L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1104053131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 CREEK RD",
"address_2": "PO BOX 31",
"city": "CHALFONT",
"state": "PA",
"postal_code": "18914",
"telephone_number": "215-822-7930",
"fax_number": "215-628-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 LIMEKILN PIKE",
"city": "DRESHER",
"state": "PA",
"postal_code": "190251114",
"telephone_number": "215-628-4404",
"fax_number": "215-628-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUTROS",
"first_name": "JOHN",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP-030407L",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01530100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dresher, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.