PRN PHYSICIAN RECOMMENDED NUTRICEUTICALS, LLC (NPI# 1831457183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831457183 |
| Entity Type | Organization |
| Organization Name | PRN PHYSICIAN RECOMMENDED NUTRICEUTICALS, LLC |
| Practice Address |
502 W Germantown Pike Suite 610 Plymouth Meeting PA 19462-1309 |
| Practice Telephone | 6108620182 |
| Practice Fax Number | 6108620183 |
| Mailing Telephone | 6108620182 |
| Mailing Fax Number | 6108620183 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | DR. MICHAEL B GROSS (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6108620182 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PRN PHYSICIAN RECOMMENDED NUTRICEUTICALS, LLC | 5 Sentry Pkwy E Ste 210, Blue Bell, PA 19422 |
| Washington State Corporations | PRN PHYSICIAN RECOMMENDED NUTRICEUTICALS, LLC | 5 Sentry Parkway E # 210, Blue Bell, PA 19422 |
| Street Address |
502 W GERMANTOWN PIKE SUITE 610 |
| City | PLYMOUTH MEETING |
| State | PA |
| Zip Code | 19462-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144355835 | Kencrest Services | Physical Therapist | 502 W Germantown Pike, Suite 200, Plymouth Meeting, PA 19462-1348 | 2007-02-22 |
| 1235478785 | Virginia Sonnen Hamby | Social Worker | 502 W Germantown Pike, Plymouth Meeting, PA 19462-1309 | 2013-02-04 |
| 1114291861 | Debbie Eileen Lord | Speech-Language Pathologist | 502 W Germantown Pike, Suite 600, Plymouth Meeting, PA 19462-1309 | 2012-02-28 |
| 1942581566 | Robin Appleton | Occupational Therapist | 502 W Germantown Pike, Plymouth Meeting, PA 19462-1309 | 2011-09-09 |
| 1700192846 | Felicia Pilla Bibus | Occupational Therapist | 502 W Germantown Pike, Plymouth Meeting, PA 19462-1309 | 2010-08-26 |
| 1063740223 | Vicki Lynn Meitus | Speech-Language Pathologist | 502 W Germantown Pike, Suite 200, Plymouth Meeting, PA 19462-1348 | 2009-11-30 |
| 1427385178 | Marianne Elise Gellert-jones | Speech-Language Pathologist | 502 W Germantown Pike, Plymouth Meeting, PA 19462-1348 | 2009-11-17 |
| 1750510269 | Lan Nguyen | Case Manager/Care Coordinator | 502 W Germantown Pike, Plymouth Meeting, PA 19462-1309 | 2009-07-06 |
| 1205080322 | Elizabeth F Grippa | Speech-Language Pathologist | 502 W Germantown Pike, Suite 200, Plymouth Meeting, PA 19462-1348 | 2008-11-17 |
| 1700055985 | Ken-crest Services | Public Health or Welfare | 502 W Germantown Pike, Suite 200, Plymouth Meeting, PA 19462-1348 | 2008-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598284192 | Nicole Marie Oconnor Probst | Registered Nurse | 824 Belvoir Road, Plymouth Meeting, PA 19462 | 2017-09-14 |
| 1699299404 | Access Services Inc | Community/Behavioral Health | 4070 Butler Pike Ste 900, Plymouth Meeting, PA 19462 | 2017-08-02 |
| 1255869079 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 615 W Germantown Pike Ste 100, Plymouth Meeting, PA 19462 | 2017-05-24 |
| 1376077545 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2400 Butler Pike, Plymouth Meeting, PA 19462 | 2017-04-14 |
| 1770039604 | David Crowe | Specialist/Technologist | 3045 Arrow Head Lane, Plymouth Meeting, PA 19462 | 2016-08-31 |
| 1881054724 | Urology Health Specialists | Non-Pharmacy Dispensing Site | 400 Davis Road, Suite 200a, Plymouth Meeting, PA 19462 | 2016-03-04 |
| 1578947289 | Amanda Coleen Hassey | Optometrist | 615 W Germantown Pike # 100, Plymouth Meeting, PA 19462 | 2015-07-13 |
| 1902204837 | Janelle Thelma Mcclure | Licensed Practical Nurse | 3113 Jolly Rd., Plymouth Meeting, PA 19462 | 2014-12-09 |
| 1417241860 | Nia Murray | Counselor | 523 Plymouth Rd., Suite215, Plymouthmeeting, PA 19462 | 2011-06-02 |
| 1831496868 | Pamela Faye Knappenberger | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462 | 2011-02-28 |
| Find all providers in zip 19462 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174089858 | Centers for Advanced Urology, LLC | Non-Pharmacy Dispensing Site | 400 Davis Dr Ste 200a, Plymouth Meeting, PA 19462-1718 | 2019-02-18 |
| 1881054724 | Urology Health Specialists | Non-Pharmacy Dispensing Site | 400 Davis Road, Suite 200a, Plymouth Meeting, PA 19462 | 2016-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723806 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 719 Dresher Rd Ste B, Horsham, PA 19044-2205 | 2020-06-05 |
| 1144844507 | Diamond Drugs, Inc. | Non-Pharmacy Dispensing Site | 665 Kolter Dr, Indiana, PA 15701-3570 | 2020-06-02 |
| 1023655602 | Dedicated Pennsylvania Holding, LLC | Non-Pharmacy Dispensing Site | 330 W Oregon Ave # 170, Philadelphia, PA 19148-4723 | 2019-12-03 |
| 1275193336 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 103 Nesbitt Rd, New Castle, PA 16105-3401 | 2019-06-19 |
| 1770141491 | R&r Eyewear Imports, Inc. | Non-Pharmacy Dispensing Site | 311 W Moreland Rd, Willow Grove, PA 19090-3107 | 2019-05-29 |
| 1811469760 | Dermatology and Mohs Surgery Center PC | Non-Pharmacy Dispensing Site | 920 Lawn Ave Ste 6, Sellersville, PA 18960-1560 | 2018-12-17 |
| 1437624244 | Highpoint Pain & Rehabilitation Physicians | Non-Pharmacy Dispensing Site | 2 Village Road, Horsham, PA 19044 | 2018-10-08 |
| 1649768110 | Qpharma Inc | Non-Pharmacy Dispensing Site | 20 Highland Park Dr Ste 202, Uniontown, PA 15401-8968 | 2018-04-30 |
| 1215424536 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 1321 Fifth Ave Ste 1, Mckeesport, PA 15132-2403 | 2018-04-23 |
| 1194212407 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 121 Freeport Rd Ste 100, Blawnox, PA 15238-3411 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | PLYMOUTH MEETING |
| Zip Code | 19462 |
Please comment or provide details below to improve the information on PRN PHYSICIAN RECOMMENDED NUTRICEUTICALS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.