Qpharma Inc
Organization Active NPI Non-Pharmacy Dispensing Site · Erie, PA
NPI 1154082584 · NPPES record last updated Jan 7, 2022
Key facts
- NPI
- 1154082584
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- Legal business name
- QPHARMA INC
- Practice address
- 2820 W 12TH St
Erie, PA 16505-4204 - Phone
- (814) 833-8800
- Fax
- (877) 389-5127
- NPI assigned
- Jan 7, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- QPHARMA INC
Authorized official
- Name
- Michael Strubbe
- Title
- Managing Director, Samples
- Phone
- (973) 644-2204
Corporate family (same tax ID) 30
National Provider Directory
- Tax ID family
- Q Pharma Inc
- Part of
- Q Pharma Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Yes |
Addresses
Primary practice location
2820 W 12TH St
Erie, PA 16505-4204
Mailing address
22 South St
Morristown, NJ 07960-8611
Other names
- Shoreline Primary Care
NPI Registry JSON
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641513600000",
"number": "1154082584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SOUTH ST",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079608611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 W 12TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054204",
"telephone_number": "814-833-8800",
"fax_number": "877-389-5127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QPHARMA INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QPHARMA INC",
"enumeration_date": "2022-01-07",
"last_updated": "2022-01-07",
"certification_date": "2022-01-05",
"status": "A",
"authorized_official_last_name": "STRUBBE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MANAGING DIRECTOR, SAMPLES",
"authorized_official_telephone_number": "973-644-2204"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shoreline Primary Care",
"code": "5",
"type": "Other Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.