Paoli Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411764L Issued in PA

Legal business name

PAOLI PHARMACY INC.

Practice address

1564 E Lancaster Ave
Paoli, PA 19301-1505

Phone

(610) 644-3147

Fax

(610) 296-2823

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Henry M Katra, PHARMACIST

Title

President

Phone

(610) 644-3147

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Paoli Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Paoli Pharmacy Inc.

  • Long Term Care Pharmacy
  • Paoli, PA
  • NPI 1063073062
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Gateway Home Health Care Inc.

  • Durable Medical Equipment & Medical Supplies
  • Phoenixville, PA
  • NPI 1912958976

  Member Of

  NPD member
• Gateway Pharmacy of Phoenixville Inc

  • Community/Retail Pharmacy
  • Phoenixville, PA
  • NPI 1619926144

  Member Of

  NPD member

Locations

Practitioners 1

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

• Nicholas Katra, PHARMD

  • Pharmacist
  • Paoli, PA
  • NPI 1700426319
  NPD

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1003867045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 E LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011505",
            "telephone_number": "610-644-3147",
            "fax_number": "610-296-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 E LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011505",
            "telephone_number": "610-644-3147",
            "fax_number": "610-296-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAOLI PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "KATRA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-644-3147",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411764L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PP411764L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paoli Fire Co
• Paoli Hematology-Oncology Associates PC
• Paoli Internal Medicine Associates PC
• Paoli Medical Consultants LLC
• Paoli Pediatrics PC
• Paoli Pharmacy Inc.
• Paoli Psychological Associates
• Paoli Smiles PC
• Paoli Sports Medicine and Rehabilitation Center, Inc.
• Paoli Surgery Center LLC

• Community/Retail Pharmacy in Paoli, PA
• Providers in Paoli, 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 Jul 18, 2012; 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.