Organization Active NPI

Glen Center Pharmacy

  • Community/Retail Pharmacy
  • Maple Glen, PA
National Provider Identifier
1649274168
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413113L Issued in PA
Legal business name
GLEN CENTER PHARMACY
Practice address
1969 Norristown Rd
Maple Glen, PA 19002-2921
Phone
(215) 643-2880
Fax
(215) 643-7544
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Greg Diehl, RPH
Title
Owner
Phone
(215) 643-2880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP413113L PA Primary

Addresses

Primary practice location

1969 Norristown Rd
Maple Glen, PA 19002-2921

Mailing address

1969 Norristown Rd
Maple Glen, PA 19002-2921
Phone (215) 643-2880

Other identifiers 1

IdentifierTypeStateIssuer
3961681OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

1969 Norristown Rd
Maple Glen, PA 19002
Phone (215) 643-2880

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": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1649274168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 NORRISTOWN RD",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "190022921",
            "telephone_number": "215-643-2880",
            "fax_number": "215-643-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 NORRISTOWN RD",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "190022921",
            "telephone_number": "215-643-2880",
            "fax_number": "215-643-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-643-2880",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413113L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3961681",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Glen, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.