Individual provider Active NPI

Marcin Henryk Sala, PHARMD

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1245507524
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP445787 Issued in PA
Practice address
8814 Bradford St
Philadelphia, PA 19115-5002
Phone
(215) 203-6547
NPI assigned
Nov 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP445787 PA Primary

Addresses

Primary practice location

8814 Bradford St
Philadelphia, PA 19115-5002

Mailing address

10000 Bustleton Ave
Philadelphia, PA 19116-3748
Phone (215) 698-1878

Other identifiers 2

IdentifierTypeStateIssuer
RP445787OtherPAPHARMACIST LICENCE
RPI005518OtherPAAUTHORIZATION TO ADMINISTER INJECTABLES

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP445787PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1245507524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163748",
            "telephone_number": "215-698-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 BRADFORD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155002",
            "telephone_number": "215-203-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALA",
        "first_name": "MARCIN",
        "middle_name": "HENRYK",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP445787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENCE",
            "identifier": "RP445787",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTHORIZATION TO ADMINISTER INJECTABLES",
            "identifier": "RPI005518",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.