Active NPI
Yorkville Drug Store
- Pharmacist
- Pottsville, PA
National Provider Identifier
1013941954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP033939L
- Legal business name
- YORKVILLE DRUG STORE
- Practice address
- 1822 W Market St
Pottsville, PA 17901-2002 - Phone
- (570) 622-1639
- Fax
- (570) 622-8010
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bonnie Lee Bobbs, R.PH.
- Title
- Manager
- Phone
- (570) 622-1639
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP033939L | PA | Primary |
Addresses
Primary practice location
1822 W Market St
Pottsville, PA 17901-2002
Mailing address
1822 W Market St
Pottsville, PA 17901-2002
Phone (570) 622-1639
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3925370 | Other | NABP | |
| PP412968L | Other | PA | PHARMACY PERMIT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1013941954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 W MARKET ST",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179012002",
"telephone_number": "570-622-1639",
"fax_number": "570-622-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1822 W MARKET ST",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179012002",
"telephone_number": "570-622-1639",
"fax_number": "570-622-8010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YORKVILLE DRUG STORE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "BOBBS",
"authorized_official_first_name": "BONNIE LEE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "570-622-1639",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "PA",
"license": "RP033939L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "3925370",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY PERMIT",
"identifier": "PP412968L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pottsville, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.