Active NPI
Brent Salisbury
- Pharmacist
- Edinboro, PA
National Provider Identifier
1194048389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP439774
- Practice address
- 108 Washington Towne Blvd N
Edinboro, PA 16412-1254 - Phone
- (814) 734-3770
- Fax
- (814) 734-9490
- NPI assigned
- Mar 2, 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 | RP439774 | PA | Primary |
Addresses
Primary practice location
108 Washington Towne Blvd N
Edinboro, PA 16412-1254
Mailing address
108 Washington Towne Blvd N
Edinboro, PA 16412-1254
Phone (814) 734-3770
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP439774 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1194048389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 WASHINGTON TOWNE BLVD N",
"city": "EDINBORO",
"state": "PA",
"postal_code": "164121254",
"telephone_number": "814-734-3770",
"fax_number": "814-734-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 WASHINGTON TOWNE BLVD N",
"city": "EDINBORO",
"state": "PA",
"postal_code": "164121254",
"telephone_number": "814-734-3770",
"fax_number": "814-734-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALISBURY",
"first_name": "BRENT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-02",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP439774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinboro, PA
- Jason Lee Rourke, B.S., D.C.
- Jacqueline Ruiz
- Ashley Faber Saft
- Saint Vincent Medical Education and
- Saint Vincent Medical Education and Reseach Institute
- Mary Beth Salisbury, RPH
- Jamie Lee Salvatore, MA, LPC, CAADC
- Davin Marie Sauer, PTA
- Catherine Marie Sayenga, R.N., CFY/SLP
- Margaret Ann Scepura-Michel, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.