Active NPI
Alliance PA Pharmacy, LLC.
- Pharmacy
- Wyomissing, PA
National Provider Identifier
1487119996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- ALLIANCE PA PHARMACY, LLC.
- Practice address
- 1235 Penn Ave Ste 101
Wyomissing, PA 19610-2100 - Phone
- (610) 376-3000
- NPI assigned
- Feb 8, 2019
- 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 Grodman
- Title
- President
- Phone
- (610) 376-3000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1235 Penn Ave Ste 101
Wyomissing, PA 19610-2100
Mailing address
1235 Penn Ave Ste 101
Wyomissing, PA 19610-2100
Phone (610) 376-3000
National Provider Directory
National Provider DirectoryLocations
1235 Penn Ave
Ste 101
Wyomissing, PA 19610
Phone (610) 376-3000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Wyomissing, PA
- NPI 1043600950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549584000000",
"number": "1487119996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 PENN AVE STE 101",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102100",
"telephone_number": "610-376-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 PENN AVE STE 101",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102100",
"telephone_number": "610-376-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE PA PHARMACY, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-08",
"last_updated": "2019-02-08",
"status": "A",
"authorized_official_last_name": "GRODMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-376-3000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
- Nayla Alfonso
- Sharifa Alhassan
- Aligned Dental of Wyomissing (The Sleep Apnea and Craniofacial Pain Center of Pennsylvania)
- Samie Abbas Alley, M.D.
- Alliance Community Healthcare, Inc.
- Leslian Almonte Diaz
- Angel Jesus Almonte, LPC
- Alpha Eye Wyomissing, LLC
- Alpha Optical Wyomissing, LLC
- Adam J Altman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.