Gaughns Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410847L Issued in PA

Legal business name

GAUGHNS DRUG STORE

Practice address

348 Pennsylvania Ave W
Warren, PA 16365-2424

Phone

(814) 723-2840

Fax

(814) 723-3830

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Scott Newton, PHARMDNPI 1760407035

Title

Vice President/Owner

Phone

(814) 723-2840

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Gaughn's Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Tax ID family

Gaughns Drug Store2 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.

• Gaughns Drug Store

  • Long Term Care Pharmacy
  • Warren, PA
  • NPI 1760199590
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gaughns Drug Store

  • Long Term Care Pharmacy
  • Warren, PA
  • NPI 1760199590
  NPPES parent name

Practitioners 2

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

• John Scott Newton

  • Pharmacist
  • Warren, PA
  • NPI 1760407035
  NPD Authorized official
• Robert Glenn Ruhlman II

  • Pharmacist
  • Warren, PA
  • NPI 1952329724
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1013940600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 PENNSYLVANIA AVE W",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652424",
            "telephone_number": "814-723-2840",
            "fax_number": "814-723-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 PENNSYLVANIA AVE W",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652424",
            "telephone_number": "814-723-2840",
            "fax_number": "814-723-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUGHNS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "VICE PRESIDENT/OWNER",
        "authorized_official_telephone_number": "814-723-2840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "PP410847L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410847L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011434770001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "3927336",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaughn's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beau Froebel, MD
• Jenna Frye
• Robert G Gabreski, MD
• Gahring Optical
• Nicole Garland, LPC
• Gaughns Drug Store
• General Care Services Inc
• Genoa Healthcare LLC
• Ggnsc Warren II LP
• Ggnsc Warren Kinzua Valley LP

• Community/Retail Pharmacy in Warren, PA
• Providers in Warren, 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 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.