Individual provider Active NPI

David Sherbin, BS PHARMACY

  • Pharmacist
  • Willow Grove, PA
National Provider Identifier
1477157766
Registry record updated Nov 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP033273L Issued in PA
Practice address
3925 Welsh Rd
Willow Grove, PA 19090-2900
Phone
(215) 657-4709
Fax
(215) 657-4728
NPI assigned
Nov 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP033273L PA Primary

Addresses

Primary practice location

3925 Welsh Rd
Willow Grove, PA 19090-2900

Mailing address

3925 Welsh Rd
Willow Grove, PA 19090-2900
Phone (215) 657-4709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
RP033273LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1477157766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 WELSH RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902900",
            "telephone_number": "215-657-4709",
            "fax_number": "215-657-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 WELSH RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902900",
            "telephone_number": "215-657-4709",
            "fax_number": "215-657-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERBIN",
        "first_name": "DAVID",
        "credential": "BS PHARMACY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP033273L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.