NPIMap

Organization Active NPI

Patient First Pennsylvania Medical Group, PLLC

  • Non-Pharmacy Dispensing Site
  • Collegeville, PA
National Provider Identifier
1922528348
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PATIENT FIRST PENNSYLVANIA MEDICAL GROUP, PLLC
Practice address
1411 S Collegeville Rd
Collegeville, PA 19426-2957
Phone
(484) 902-1893
Fax
(484) 902-1894
NPI assigned
Jun 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Authorized official

Name
Mr. Marvin Warren Bridgers III, RPH
Title
VP, Pharmacy
Phone
(804) 822-4383

Specialties & licenses 1

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

Addresses

Primary practice location

1411 S Collegeville Rd
Collegeville, PA 19426-2957

Mailing address

5000 Cox Rd Ste 100
Glen Allen, VA 23060-9263
Phone (804) 822-4588

Other names 1

  • PATIENT FIRST COLLEGEVILLE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Patient First PA25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1922528348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD STE 100",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-822-4588",
            "fax_number": "804-965-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S COLLEGEVILLE RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262957",
            "telephone_number": "484-902-1893",
            "fax_number": "484-902-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT FIRST PENNSYLVANIA MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "BRIDGERS",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "VP, PHARMACY",
        "authorized_official_telephone_number": "804-822-4383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATIENT FIRST COLLEGEVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PATIENT FIRST COLLEGEVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.