Pharmacy of Norristown, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482704 Issued in PA

Legal business name

PHARMACY OF NORRISTOWN, LLC

Practice address

420 W Marshall St
Norristown, PA 19401-4640

Phone

(484) 231-1014

Fax

(484) 231-1865

NPI assigned

Jan 27, 2017

Organization subpart

No

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

Authorized official

Name

Mahesh Paladugu

Title

President

Phone

(484) 231-1014

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PHARMACY OF NORRISTOWN Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Kayla M Gottstein, PHARM.D.

  • Pharmacist
  • Norristown, PA
  • NPI 1902230543
  NPD (past)
• Milan J Patel

  • Pharmacist
  • Norristown, PA
  • NPI 1518421379
  NPD (past)

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1639616790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MARSHALL ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194014640",
            "telephone_number": "484-231-1014",
            "fax_number": "484-231-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MARSHALL ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194014640",
            "telephone_number": "484-231-1014",
            "fax_number": "484-231-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY OF NORRISTOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "PALADUGU",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-231-1014"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167515",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103252514",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY OF NORRISTOWN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James F Petaccio, MSPT
• Timothy S Peters Strickland, MD
• Jeffrey Patrick Petrillo, CRNA
• Pamela Pfeiffer
• Amy Pham
• Pharmacy of Norristown, LLC
• Erin Lynn Phelan
• Julia Stockton Philips, CRNP
• Physical Therapy in Motion, LLC
• Cinda Piacitelli

• Community/Retail Pharmacy in Norristown, PA
• Providers in Norristown, 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 Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.