Organization Active NPI

Morrison Pharmacy, Inc.

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1467531715
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP029940L Issued in PA
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

Updated by the provider on Jul 30, 2008

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)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PP411134LOtherPAPHARMACY STATE LICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.