Organization Active NPI

Doug's Family Pharmacy

  • Community/Retail Pharmacy
  • Elverson, PA
National Provider Identifier
1235267196
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413739L Issued in PA
Legal business name
DOUG'S FAMILY PHARMACY
Practice address
101 Darby SQ
Elverson, PA 19520-9303
Phone
(610) 286-0496
Fax
(610) 286-6968
NPI assigned
Mar 1, 2007
Last updated
Jul 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Mr. Douglas Royce Hess, RPH
Title
Owner
Phone
(610) 286-0496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP413739L PA Primary

Addresses

Primary practice location

101 Darby SQ
Elverson, PA 19520-9303

Mailing address

101 Darby SQ
Elverson, PA 19520-9303
Phone (610) 286-0496

Other identifiers 1

IdentifierTypeStateIssuer
0010791300002MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1235267196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DARBY SQ",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "195209303",
            "telephone_number": "610-286-0496",
            "fax_number": "610-286-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DARBY SQ",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "195209303",
            "telephone_number": "610-286-0496",
            "fax_number": "610-286-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUG'S FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ROYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-286-0496",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413739L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010791300002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elverson, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.