Individual provider Active NPI

Michael Joseph Zrada, RPH

  • Pharmacist
  • Conshohocken, PA
National Provider Identifier
1881911220
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP-031009-L Issued in PA
Practice address
200 W Ridge Pike
Conshohocken, PA 19428-3702
Phone
(610) 828-1274
Fax
(610) 828-0248
NPI assigned
Apr 26, 2010
Last updated
Apr 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP-031009-L PA Primary

Addresses

Primary practice location

200 W Ridge Pike
Conshohocken, PA 19428-3702

Mailing address

200 W Ridge Pike
Conshohocken, PA 19428-3702
Phone (610) 828-1274

Other identifiers 1

IdentifierTypeStateIssuer
RP-031009-LOtherPASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP-031009-LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1881911220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W RIDGE PIKE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194283702",
            "telephone_number": "610-828-1274",
            "fax_number": "610-828-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W RIDGE PIKE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194283702",
            "telephone_number": "610-828-1274",
            "fax_number": "610-828-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZRADA",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP-031009-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RP-031009-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.