NPIMap

Organization Active NPI

St Mary Medical Center

Doing business as St Mary Hospital Pharmacy

  • Institutional Pharmacy
  • Langhorne, PA
National Provider Identifier
1750474268
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
HP418249L Issued in PA
Legal business name
ST MARY MEDICAL CENTER
Doing business as
St Mary Hospital Pharmacy
Practice address
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone
(215) 710-7427
Fax
(215) 710-7434
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
John O Brien
Title
Manager
Phone
(215) 710-7427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X HP418249L PA Primary

Addresses

Primary practice location

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

Mailing address

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-7427

Other identifiers 2

IdentifierTypeStateIssuer
3952202OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0730400MedicaidPA

Other names 1

  • ST MARY HOSPITAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Mary Phys Cardiology8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1750474268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 LANGHORNE NEWTOWN RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471201",
            "telephone_number": "215-710-7427",
            "fax_number": "215-710-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LANGHORNE NEWTOWN RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471201",
            "telephone_number": "215-710-7427",
            "fax_number": "215-710-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "O BRIEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-710-7427"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "PA",
            "license": "HP418249L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3952202",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0730400",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST MARY HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.