Active NPI
Morrison Pharmacy, Inc.
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1467531715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP029940L
- Legal business name
- MORRISON PHARMACY, INC.
- Practice address
- 6113 Ridge Ave
Philadelphia, PA 19128-1604 - Phone
- (215) 482-2697
- Fax
- (215) 482-8495
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David C. Bradstock, R.PH.
- Title
- Owner
- Phone
- (215) 482-2697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP029940L | PA | Primary |
Addresses
Primary practice location
6113 Ridge Ave
Philadelphia, PA 19128-1604
Mailing address
6113 Ridge Ave
Philadelphia, PA 19128-1604
Phone (215) 482-2697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PP411134L | Other | PA | PHARMACY STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
6113 Ridge Ave
Philadelphia, PA 19128
Phone (215) 482-2697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217376000000",
"number": "1467531715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6113 RIDGE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281604",
"telephone_number": "215-482-2697",
"fax_number": "215-482-8495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6113 RIDGE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281604",
"telephone_number": "215-482-2697",
"fax_number": "215-482-8495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORRISON PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2008-07-30",
"status": "A",
"authorized_official_last_name": "BRADSTOCK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-482-2697",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "PA",
"license": "RP029940L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY STATE LICENSE",
"identifier": "PP411134L",
"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 Jul 30, 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.