Barda Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412859L Issued in PA

Legal business name

BARDA INC

Doing business as

Westbrook Park Pharmacy

Practice address

244 W Baltimore Ave
Clifton Heights, PA 19018-2101

Phone

(610) 626-2949

Fax

(610) 626-2950

NPI assigned

Jul 26, 2005

Last updated

Mar 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barry Green, RPH

Title

Pres

Phone

(610) 626-2949

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WESTBROOK PARK PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1922008507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 W BALTIMORE AVE",
            "city": "CLIFTON HEIGHTS",
            "state": "PA",
            "postal_code": "190182101",
            "telephone_number": "610-626-2949",
            "fax_number": "610-626-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 W BALTIMORE AVE",
            "city": "CLIFTON HEIGHTS",
            "state": "PA",
            "postal_code": "190182101",
            "telephone_number": "610-626-2949",
            "fax_number": "610-626-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "610-626-2949",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412859L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0775880",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2083847",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTBROOK PARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Clifton Heights, PA
• Providers in Clifton Heights, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.