NPIMap

Organization Active NPI

Dakes Drug Store Inc

  • Community/Retail Pharmacy
  • Merion Station, PA
National Provider Identifier
1013015916
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP410527L Issued in PA
Legal business name
DAKES DRUG STORE INC
Practice address
201 City Ave
Merion Station, PA 19066-1803
Phone
(610) 667-1316
Fax
(610) 667-3305
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Larry Halper, RPHNPI 1982705398
Title
Owner
Phone
(610) 667-1316

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP410527L PA Primary

Addresses

Primary practice location

201 City Ave
Merion Station, PA 19066-1803

Mailing address

201 City Ave
Merion Station, PA 19066-1803
Phone (610) 667-1316

Other identifiers 2

IdentifierTypeStateIssuer
2080056OtherPK
0572867MedicaidPA

Other names 1

  • DAKE'S DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Locations

201 City Ave
Merion Station, PA 19066
Phone (610) 667-1316

201 City Line Ave
Merion Station, PA 19066
Phone (610) 667-1316

Practitioners & affiliated clinicians

Practitioners 3

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1013015916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CITY AVE",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661803",
            "telephone_number": "610-667-1316",
            "fax_number": "610-667-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CITY AVE",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661803",
            "telephone_number": "610-667-1316",
            "fax_number": "610-667-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKES DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "HALPER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-667-1316",
        "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": "PP410527L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2080056",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0572867",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAKE'S DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merion Station, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.