Organization Active NPI

Termed of Berks County Inc

  • Community/Retail Pharmacy
  • Boyertown, PA
National Provider Identifier
1508938309
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TERMED OF BERKS COUNTY INC
Practice address
2 E Philadelphia Ave
Boyertown, PA 19512-1125
Phone
(610) 369-3888
Fax
(610) 369-3886
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Edmond J Hudon, RPH
Title
Owner Pharmacist
Phone
(610) 369-3888

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP414973L PA
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X PP414973L PA

Addresses

Primary practice location

2 E Philadelphia Ave
Boyertown, PA 19512-1125

Mailing address

2 E Philadelphia Ave
Boyertown, PA 19512-1125

Other identifiers 2

IdentifierTypeStateIssuer
1007680530002MedicaidPA
3969207OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080724000142 PA Part B Supplier - Mass Immunization (Roster Biller Only) 9133292105 1 other NPI on this enrollment
Practice locations: Barto, PA; Boyertown, PA
O20100930083010 PA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 9133292105 Practice locations: Boyertown, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Termed of Berks County Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508938309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E PHILADELPHIA AVE",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E PHILADELPHIA AVE",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121125",
            "telephone_number": "610-369-3888",
            "fax_number": "610-369-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERMED OF BERKS COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HUDON",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "610-369-3888",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP414973L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP414973L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007680530002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3969207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.