Brigadoon Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PP411861L Issued in PA

Legal business name

BRIGADOON INC

Practice address

200 E Uwchlan Ave
Exton, PA 19341-1207

Phone

(610) 363-7474

Fax

(610) 363-5707

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Michael Briggs

Title

Pharmacy Manager and Co Owner

Phone

(610) 363-7474

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• LIONVILLE NATURAL PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1639238751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E UWCHLAN AVE",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411207",
            "telephone_number": "610-363-7474",
            "fax_number": "610-363-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E UWCHLAN AVE",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411207",
            "telephone_number": "610-363-7474",
            "fax_number": "610-363-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGADOON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACY MANAGER AND CO OWNER",
        "authorized_official_telephone_number": "610-363-7474"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "PA",
            "license": "PP411861L",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2083980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIONVILLE NATURAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Casey Ann Briglia, MS.ED., LPC
• Lisa Briskin, OTR/L
• Jasmine Taylor Broadnax, BSL
• Lisa Larkin Broadrup, M.S., LPC
• Willaim Robert Broomall, MASTERS DEGREE

• Compounding Pharmacy in Exton, PA
• Providers in Exton, PA by specialty
• Compounding Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.