Organization Active NPI

Premier Pharmacy Network II

  • Community/Retail Pharmacy
  • Broomall, PA
National Provider Identifier
1174973648
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PREMIER PHARMACY NETWORK II
Practice address
2530 W Chester Pike
Broomall, PA 19008-2429
Phone
(610) 356-6491
NPI assigned
Jun 15, 2016
Last updated
Jun 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Dr. Mark R Lawson, PHARM.D.,MBANPI 1255404901
Title
Managing Member
Phone
(267) 979-3948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

2530 W Chester Pike
Broomall, PA 19008-2429

Mailing address

PO Box 428
Marcus Hook, PA 19061-0428
Phone (610) 485-7750

National Provider Directory

National Provider Directory

Locations

2530 W Chester Pike
Broomall, PA 19008
Phone (610) 356-6491

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1174973648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "MARCUS HOOK",
            "state": "PA",
            "postal_code": "190610428",
            "telephone_number": "610-485-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 W CHESTER PIKE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082429",
            "telephone_number": "610-356-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHARMACY NETWORK II",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "267-979-3948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D.,MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.