Active NPI
Phillip David Sebrell, PHARMD
- Pharmacist
- Stowe, PA
National Provider Identifier
1154640738
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Aug 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP438886
- Practice address
- 180 Upland SQ Dr
Stowe, PA 19464-9432 - Phone
- (610) 970-0004
- Fax
- (610) 970-0007
- NPI assigned
- May 22, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP438886 | PA | Primary |
Addresses
Primary practice location
180 Upland SQ Dr
Stowe, PA 19464-9432
Mailing address
191 Masters Dr
Pottstown, PA 19464-3493
Phone (215) 715-8242
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP438886 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanatoga Pharmacy Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Pottstown, PA
- NPI 1922555697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1154640738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 MASTERS DR",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194643493",
"telephone_number": "215-715-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 UPLAND SQ DR",
"city": "STOWE",
"state": "PA",
"postal_code": "194649432",
"telephone_number": "610-970-0004",
"fax_number": "610-970-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBRELL",
"first_name": "PHILLIP",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-22",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP438886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stowe, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.