Melvin Burgis

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411484L Issued in PA

Legal business name

MELVIN BURGIS

Practice address

2530 W Chester Pike
Broomall, PA 19008-2429

Phone

(610) 356-6491

Fax

(610) 356-6492

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mel Burgis

Title

Owner

Phone

(610) 356-6772

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MELS MARPLE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1467583567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 W CHESTER PIKE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082429",
            "telephone_number": "610-356-6491",
            "fax_number": "610-356-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 W CHESTER PIKE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082429",
            "telephone_number": "610-356-6491",
            "fax_number": "610-356-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN BURGIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "BURGIS",
        "authorized_official_first_name": "MEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-356-6772"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411484L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3909148",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MELS MARPLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Broomall, PA
• Providers in Broomall, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.