Active NPI
Adam J Talbot, RPH
- Pharmacist
- Boothwyn, PA
National Provider Identifier
1205004017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP036387T
- Practice address
- 643 Conchester Highway
Super Fresh Pharmacy
Boothwyn, PA 19061 - Phone
- (610) 859-8930
- NPI assigned
- Feb 14, 2008
- Last updated
- Feb 14, 2008
- Sex
- Male
- Sole proprietor
- No
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 | RP036387T | PA | Primary |
Addresses
Primary practice location
643 Conchester Highway
Super Fresh Pharmacy
Boothwyn, PA 19061
Mailing address
5200 Hilltop Drive S-2
Brookhaven, PA 19015
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP036387T | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1205004017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 HILLTOP DRIVE S-2",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "19015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 CONCHESTER HIGHWAY",
"address_2": "SUPER FRESH PHARMACY",
"city": "BOOTHWYN",
"state": "PA",
"postal_code": "19061",
"telephone_number": "610-859-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALBOT",
"first_name": "ADAM",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-14",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP036387T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boothwyn, PA
- Aditi Shahane
- Signature Emergency Products
- Daniel Alan Smolen, D.O.
- Jeanne Strzalkowski, A.T.C.
- Super Fresh Food Markets Inc (Pathmark Pharmacy)
- Tarrytown Expocare, LLC (Tarrytown Expocare PA)
- Thrift Drug Inc (Rite Aid Pharmacy 11112)
- Laura Vega, DSW, LCSW
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3252)
- Wal-Mart Stores East, LP (Vision Center 30-3252)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.