Brulin Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BRULIN INC

Doing business as

Medicine Shoppe

Practice address

722 Route 113
Souderton Square
Souderton, PA 18964-1004

Phone

(215) 723-9350

Fax

(215) 723-8466

NPI assigned

Oct 3, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce Trout, RPH

Title

Owner Pharmacist

Phone

(215) 723-9350

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Doing business as

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1659465953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUDERTON SQUARE 722 ROUTE 113",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "18964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 ROUTE 113",
            "address_2": "SOUDERTON SQUARE",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641004",
            "telephone_number": "215-723-9350",
            "fax_number": "215-723-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRULIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TROUT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "215-723-9350",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP414654L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3965285",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013021960001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Souderton, PA
• Providers in Souderton, 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 Mar 7, 2023; 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.