Organization Active NPI

Bristol Discount Pharmacy Inc

  • Community/Retail Pharmacy
  • Bristol, PA
National Provider Identifier
1609346543
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BRISTOL DISCOUNT PHARMACY INC
Practice address
247 Mill St
Bristol, PA 19007-4803
Phone
(267) 812-5355
Fax
(267) 812-5867
NPI assigned
Dec 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Nickolas Martins
Title
Owner
Phone
(267) 812-5026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

247 Mill St
Bristol, PA 19007-4803

Mailing address

247 Mill St
Bristol, PA 19007-4803
Phone (267) 812-5026

Other identifiers 1

IdentifierTypeStateIssuer
1036049940001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1609346543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 MILL ST",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074803",
            "telephone_number": "267-812-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 MILL ST",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074803",
            "telephone_number": "267-812-5355",
            "fax_number": "267-812-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "MARTINS",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-812-5026"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036049940001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.