Organization Active NPI

Petrone & Associates Inc

  • Community/Retail Pharmacy
  • Columbia, PA
National Provider Identifier
1003976887
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP414646L Issued in PA
Legal business name
PETRONE & ASSOCIATES INC
Practice address
960 Lancaster Ave
Columbia Plaza
Columbia, PA 17512-1857
Phone
(717) 684-5808
Fax
(717) 684-5126
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Steven A Petrone, R.PH.NPI 1821547126
Title
President
Phone
(717) 684-5808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP414646L PA Primary

Addresses

Primary practice location

960 Lancaster Ave
Columbia Plaza
Columbia, PA 17512-1857

Mailing address

960 Lancaster Ave
Columbia Plaza
Columbia, PA 17512-1857
Phone (717) 684-5808

Other identifiers 3

IdentifierTypeStateIssuer
001297069001MedicaidPA
3965209OtherPANCPDP #
01297069MedicaidPA

Other names 1

  • Medicine Shoppe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930082585 PA DME Supplier - Pharmacy 0941406946 Practice locations: Columbia, PA
O20180905003373 PA Part B Supplier - Mass Immunization (Roster Biller Only) 0941406946 Practice locations: Lancaster, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Petrone & Associates Inc960 Lancaster Ave, Columbia, PA 17512-1857(717) 684-5808 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since May 5, 2008

National Provider Directory

National Provider Directory

Locations

960 Lancaster Ave
Columbia, PA 17512
Phone (717) 684-5808

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1003976887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 LANCASTER AVE",
            "address_2": "COLUMBIA PLAZA",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175121857",
            "telephone_number": "717-684-5808",
            "fax_number": "717-684-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 LANCASTER AVE",
            "address_2": "COLUMBIA PLAZA",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175121857",
            "telephone_number": "717-684-5808",
            "fax_number": "717-684-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRONE & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PETRONE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-684-5808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP414646L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001297069001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3965209",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01297069",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.