Organization Active NPI

Pharmacy of Norristown, LLC

  • Long Term Care Pharmacy
  • Norristown, PA
National Provider Identifier
1639698053
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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
Sep 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Mahesh Paladugu
Title
President
Phone
(484) 231-1014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PP482704 PA Primary

Addresses

Primary practice location

420 W Marshall St
Norristown, PA 19401-4640

Mailing address

420 W Marshall St
Norristown, PA 19401-4640
Phone (484) 231-1014

Other identifiers 1

IdentifierTypeStateIssuer
103252514MedicaidPA

Other names 1

  • PHARMACY OF NORRISTOWN Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639698053",
    "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": "2017-09-18",
        "last_updated": "2022-07-21",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP482704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103252514",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY OF NORRISTOWN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.