Organization Active NPI

Bridesburg Pharmacy

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1306282157
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP441291 Issued in PA
Legal business name
BRIDESBURG PHARMACY
Practice address
2608 Orthodox St
Philadelphia, PA 19137-1627
Phone
(215) 744-2277
Fax
(215) 744-2287
NPI assigned
May 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Miss Shenay Ussein, PHARMD
Title
Pharmacist
Phone
(215) 744-2277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X RP441291 PA Primary

Addresses

Primary practice location

2608 Orthodox St
Philadelphia, PA 19137-1627

Mailing address

2608 Orthodox St
Philadelphia, PA 19137-1627
Phone (215) 744-2277

Other identifiers 1

IdentifierTypeStateIssuer
123456OtherPHARMACIST LICENSE

National Provider Directory

National Provider Directory

Locations

2608 Orthodox St
Philadelphia, PA 19137
Phone (215) 744-2277

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1306282157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 ORTHODOX ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191371627",
            "telephone_number": "215-744-2277",
            "fax_number": "215-744-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 ORTHODOX ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191371627",
            "telephone_number": "215-744-2277",
            "fax_number": "215-744-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDESBURG PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "USSEIN",
        "authorized_official_first_name": "SHENAY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "215-744-2277",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "123456",
            "state": null
        }
    ],
    "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 Dec 19, 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.