Organization Active NPI

Scott Wertz

Doing business as The Medicine Shoppe Pharmacy

  • Compounding Pharmacy
  • Reading, PA
National Provider Identifier
1508110024
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PP410055L Issued in PA
Legal business name
SCOTT WERTZ
Doing business as
The Medicine Shoppe Pharmacy
Practice address
1170 Perkiomen Ave
Reading, PA 19602-1349
Phone
(610) 378-1396
Fax
(610) 378-5529
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Scott Wertz
Title
Pharmacist/Owner
Phone
(610) 378-1396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X PP410055L PA Primary

Addresses

Primary practice location

1170 Perkiomen Ave
Reading, PA 19602-1349

Mailing address

1170 Perkiomen Ave
Reading, PA 19602-1349
Phone (610) 378-1396

Other identifiers 1

IdentifierTypeStateIssuer
2137685OtherPK

Other names 1

  • The Medicine Shoppe Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1508110024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 PERKIOMEN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021349",
            "telephone_number": "610-378-1396",
            "fax_number": "610-378-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 PERKIOMEN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021349",
            "telephone_number": "610-378-1396",
            "fax_number": "610-378-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT WERTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "WERTZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "610-378-1396"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "PA",
            "license": "PP410055L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.