Organization Active NPI

Compounding RX Apothecary

  • Pharmacist
  • Malvern, PA
National Provider Identifier
1326257353
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PP481331 Issued in PA
Legal business name
COMPOUNDING RX APOTHECARY
Practice address
81 Lancaster Ave
Store #4
Malvern, PA 19355-2139
Phone
(484) 527-0203
Fax
(484) 527-0205
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eric Fox, RPH
Title
Pharmacist
Phone
(484) 527-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X PP481331 PA Primary

Addresses

Primary practice location

81 Lancaster Ave
Store #4
Malvern, PA 19355-2139

Mailing address

81 Lancaster Ave
Store #4
Malvern, PA 19355-2139
Phone (484) 527-0203

National Provider Directory

National Provider Directory

Locations

81 Lancaster Ave
Ste 4
Malvern, PA 19355
Phone (484) 527-0203

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326257353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 LANCASTER AVE",
            "address_2": "STORE #4",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552139",
            "telephone_number": "484-527-0203",
            "fax_number": "484-527-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 LANCASTER AVE",
            "address_2": "STORE #4",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552139",
            "telephone_number": "484-527-0203",
            "fax_number": "484-527-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPOUNDING RX APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "484-527-0203",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP481331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.