Lee Randolph Bierly
Individual provider Active NPI Pharmacist · Elverson, PA
NPI 1730780529 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1730780529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP031084L (PA)
- Practice address
- 100 Crossings Blvd
Elverson, PA 19520-9069 - Phone
- (610) 913-2012
- NPI assigned
- Nov 6, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP031084L | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP031084L | PA | Yes |
Addresses
Primary practice location
100 Crossings Blvd
Elverson, PA 19520-9069
Mailing address
100 Crossings Blvd
Elverson, PA 19520-9069
Other providers in Elverson, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.