Organization Active NPI

Boerstlers Pharmacy

  • Pharmacy
  • Bethlehem, PA
National Provider Identifier
1619049764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP410216L Issued in PA
Legal business name
BOERSTLERS PHARMACY
Practice address
39 E Elizabeth Ave
Bethlehem, PA 18018-6505
Phone
(610) 866-5037
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Glenn Wilson Boerstler, RPHNPI 1235246455
Title
Owner RPH
Phone
(610) 866-5037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP410216L PA Primary

Addresses

Primary practice location

39 E Elizabeth Ave
Bethlehem, PA 18018-6505

Mailing address

39 E Elizabeth Ave
Bethlehem, PA 18018-6505
Phone (610) 866-5037

National Provider Directory

National Provider Directory

Locations

39 E Elizabeth Ave
Bethlehem, PA 18018
Phone (610) 866-5037

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619049764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E ELIZABETH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186505",
            "telephone_number": "610-866-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E ELIZABETH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186505",
            "telephone_number": "610-866-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERSTLERS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOERSTLER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "OWNER RPH",
        "authorized_official_telephone_number": "610-866-5037",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP410216L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.