Organization Active NPI

Yorkville Drug Store

  • Pharmacist
  • Pottsville, PA
National Provider Identifier
1013941954
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP033939L Issued in PA
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

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
Bonnie Lee Bobbs, R.PH.
Title
Manager
Phone
(570) 622-1639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3925370OtherNABP
PP412968LOtherPAPHARMACY PERMIT

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.