Michael J Brislin

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MICHAEL J BRISLIN

Practice address

953 Prescott Ave
Scranton, PA 18510-1411

Phone

(570) 346-2935

Fax

(570) 207-4767

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Michael Brislin, RPH

Title

Owner Pharmacist

Phone

(570) 346-2935

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• THE MEDICINE SHOPPE Doing business as

Locations

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": "1609948496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 PRESCOTT AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 PRESCOTT AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101411",
            "telephone_number": "570-346-2935",
            "fax_number": "570-207-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J BRISLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BRISLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "570-346-2935",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413264L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008873920002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3945079",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tseyonawit Mesfin
• Renee Messina, RN
• Mew Counseling, LLC
• Renata Anna Meyer, M.D.
• Mark J Micciche, DPM
• Michael J Rogan MD
• Michael J. Turock and Associates, MD
• Ann Michalowski, PT, DPT
• Cassandra Michaylo, MS,CCC/SLP
• Michel Goubran MD P.C.

• Community/Retail Pharmacy in Scranton, PA
• Providers in Scranton, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.