NPIMap

Organization Active NPI

T E P Inc

Doing business as Brighton HealthMart Pharmacy

  • Community/Retail Pharmacy
  • New Brighton, PA
National Provider Identifier
1114911302
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP414812L Issued in PA
Legal business name
T E P INC
Doing business as
Brighton HealthMart Pharmacy
Practice address
525 5TH Ave
New Brighton, PA 15066-1737
Phone
(724) 847-7979
Fax
(724) 847-1774
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Mr. Harry Murray Davis, R.PH.NPI 1275527368
Title
Owner/Pharmacist
Phone
(724) 847-7979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP414812L PA Primary
Long Term Care Pharmacy 3336L0003X PP414812L PA

Addresses

Primary practice location

525 5TH Ave
New Brighton, PA 15066-1737

Mailing address

525 5TH Ave
New Brighton, PA 15066-1737
Phone (724) 847-7979

Other identifiers 3

IdentifierTypeStateIssuer
PP414182LOtherPASTATE PHARMACY LICENSE
3958038OtherPANCPCP
0011588240002MedicaidPA

Other names 1

  • Brighton HealthMart Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930065418 PA DME Supplier - Pharmacy 0941329072 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Brighton, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

525 5th Ave
New Brighton, PA 15066
Phone (724) 847-7979

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1114911302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 5TH AVE",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "150661737",
            "telephone_number": "724-847-7979",
            "fax_number": "724-847-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 5TH AVE",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "150661737",
            "telephone_number": "724-847-7979",
            "fax_number": "724-847-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T E P INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "MURRAY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "724-847-7979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP414812L",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP414812L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "PP414182L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPCP",
            "identifier": "3958038",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011588240002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton HealthMart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Brighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.