Organization Active NPI

Exton Pharmacy LLC

  • Pharmacist
  • Exton, PA
National Provider Identifier
1568527745
Registry record updated Sep 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PP481377 Issued in PA
Legal business name
EXTON PHARMACY LLC
Practice address
1 Marchwood Rd
Exton, PA 19341-1840
Phone
(610) 363-9444
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2008

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

Authorized official

Name
Mary C. Walsh, RPH
Title
Owner
Phone
(610) 363-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PP481377 PA Primary

Addresses

Primary practice location

1 Marchwood Rd
Exton, PA 19341-1840

Mailing address

1 Marchwood Rd
Exton, PA 19341-1840
Phone (610) 363-9444

Other identifiers 1

IdentifierTypeStateIssuer
101025571-0001MedicaidPA

National Provider Directory

National Provider Directory

Locations

1 Marchwood Rd
Exton, PA 19341
Phone (610) 363-9444

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221264000000",
    "number": "1568527745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARCHWOOD RD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411840",
            "telephone_number": "610-363-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARCHWOOD RD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411840",
            "telephone_number": "610-363-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-09-13",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-363-9444",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP481377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101025571-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2008; 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.