Thomas J Betteridge

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412139L Issued in PA

Legal business name

THOMAS J BETTERIDGE

Doing business as

Rosica Pharmacy

Practice address

2065 Snyder Ave
Philadelphia, PA 19145-2811

Phone

(215) 334-4477

NPI assigned

Jul 19, 2005

Last updated

Nov 23, 2016By 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

Thomas Betteridge

Title

Proprietor

Phone

(215) 334-4477

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ROSICA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1679572887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 SNYDER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452811",
            "telephone_number": "215-334-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 SNYDER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452811",
            "telephone_number": "215-334-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J BETTERIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "BETTERIDGE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "215-334-4477"
    },
    "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": "PP412139L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2082127",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19145841901",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSICA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Stephen Thom, MD, PHD
• Colleen Marie Thom
• Stephen Thom, MD
• Fjoralba Thoma, DMD
• Joseph Thomann, CRNA
• Thomas Jefferson Hospital
• Thomas Jefferson University
• Thomas Jefferson University
• Thomas Jefferson University (Jefferson Elder Care)
• Thomas Jefferson University

• 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 Nov 23, 2016; 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.