Brown's Parkside, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481826 Issued in PA

Legal business name

BROWN'S PARKSIDE, LLC

Doing business as

Shoprite Pharmacy of Parkside

Practice address

1575 N 52ND St
Ste 400
Philadelphia, PA 19131-4736

Phone

(215) 220-8800

Fax

(215) 220-8888

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Melissa Figueroa Rivera

Title

Third Party Administrator

Phone

(732) 521-8439

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shoprite Pharmacy of Parkside Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Browns Superstores Inc

  dba ShopRite Pharmacy of Roxborough 519

  • Community/Retail Pharmacy
  • Philadelphia, PA
  • NPI 1043325830

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1669646493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15169",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071925169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N 52ND ST",
            "address_2": "STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314736",
            "telephone_number": "215-220-8800",
            "fax_number": "215-220-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN'S PARKSIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8439"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3990202",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy of Parkside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Nicole Brown, PHD
• Timothy Brown, P.T, D.P.T
• Vaunique Brown, CRNA
• Victoria Natali Brown, RDN, LDN
• Zazel S Brown
• Carmen R Browne-Valentine, LCSW
• Barbara Browne, MD
• Benjamin Browne
• Jacinth Browne
• Kimberly Kae Browne, SW

• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, 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 May 4, 2011; 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.