Birdsboro Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP413942L Issued in PA

Legal business name

BIRDSBORO PHARMACY INC

Practice address

200 W 1St St Ste 3
Birdsboro, PA 19508-2254

Phone

(610) 582-4005

Fax

(610) 404-4512

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Martin John Kendra, RPHNPI 1396897443

Title

President

Phone

(610) 582-4004

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Birdsboro Pharmacy Inc

  • Long Term Care Pharmacy
  • Birdsboro, PA
  • NPI 1043946288
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin John Kendra, RPH

  • Pharmacist
  • Birdsboro, PA
  • NPI 1396897443
  NPD Authorized official
• Deborah Schmale, RPH

  • Pharmacist
  • Birdsboro, PA
  • NPI 1780275743
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1891799326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195080398",
            "telephone_number": "610-582-5136",
            "fax_number": "610-404-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST STE 3",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195082254",
            "telephone_number": "610-582-4005",
            "fax_number": "610-404-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRDSBORO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "KENDRA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-582-4004",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413942L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001485659",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3953898",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah T Arnholt, PT
• Back & Neck Clinic of Exeter
• Alexis Nichole Becker
• Berks Family Eyecare P C
• Birdsboro Pharmacy Inc
• Michael David Bohn, RPH
• Mark A Buczewski, D.O.
• Gerry Burke, RN
• Brad R Burrows, ATC, LAT, CSCS
• Cain Michael Cerra, DPT

• Pharmacy in Birdsboro, PA
• Providers in Birdsboro, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.