Organization Active NPI

PRN Physician Recommended Nutriceuticals, LLC

  • Non-Pharmacy Dispensing Site
  • Plymouth Meeting, PA
National Provider Identifier
1831457183
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PRN PHYSICIAN RECOMMENDED NUTRICEUTICALS, LLC
Practice address
502 W Germantown Pike
Suite 610
Plymouth Meeting, PA 19462-1309
Phone
(610) 862-0182
Fax
(610) 862-0183
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Dr. Michael B Gross, M.D.
Title
Chief Medical Officer
Phone
(610) 862-0182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

502 W Germantown Pike
Suite 610
Plymouth Meeting, PA 19462-1309

Mailing address

502 W Germantown Pike
Suite 610
Plymouth Meeting, PA 19462-1309
Phone (610) 862-0182

National Provider Directory

National Provider Directory

Locations

502 W Germantown Pike
Ste 610
Plymouth Meeting, PA 19462
Phone (610) 862-0182

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1831457183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W GERMANTOWN PIKE",
            "address_2": "SUITE 610",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621309",
            "telephone_number": "610-862-0182",
            "fax_number": "610-862-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W GERMANTOWN PIKE",
            "address_2": "SUITE 610",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621309",
            "telephone_number": "610-862-0182",
            "fax_number": "610-862-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN PHYSICIAN RECOMMENDED NUTRICEUTICALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "610-862-0182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.