Organization Active NPI

Roger J. Feura Bradford Pharmacy

  • Community/Retail Pharmacy
  • Bradford, PA
National Provider Identifier
1427109883
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413546L Issued in PA
Legal business name
ROGER J. FEURA BRADFORD PHARMACY
Practice address
55 Main Street
Bradford, PA 16701-2019
Phone
(814) 362-6521
Fax
(814) 362-3593
NPI assigned
Jan 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Mr. Roger J Feura, RPH
Title
Owner/Pharmacist
Phone
(814) 362-6521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP413546L PA Primary

Addresses

Primary practice location

55 Main Street
Bradford, PA 16701-2019

Mailing address

55 Main Street
Bradford, PA 16701-2019
Phone (814) 362-6521

Other identifiers 1

IdentifierTypeStateIssuer
1007289890002MedicaidPA

National Provider Directory

National Provider Directory

Locations

55 Main St
Bradford, PA 16701
Phone (814) 362-6521

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1427109883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MAIN STREET",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012019",
            "telephone_number": "814-362-6521",
            "fax_number": "814-362-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MAIN STREET",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012019",
            "telephone_number": "814-362-6521",
            "fax_number": "814-362-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER J. FEURA BRADFORD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "FEURA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "814-362-6521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413546L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007289890002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.