Minersville Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482314 Issued in PA

Legal business name

MINERSVILLE PHARMACY, INC.

Doing business as

Minersville Pharmacy

Practice address

106 Sunbury St
Minersville, PA 17954-1443

Phone

(570) 399-5488

Fax

(570) 399-5490

NPI assigned

Oct 19, 2012

Last updated

Oct 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Kushwarra, R.PH.NPI 1760992242

Title

Manager

Phone

(570) 399-5488

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Minersville Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn Kushwarra, RPH

  • Pharmacist
  • Minersville, PA
  • NPI 1760992242
  NPD (past) Authorized official

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1023361631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SUNBURY ST",
            "city": "MINERSVILLE",
            "state": "PA",
            "postal_code": "179541443",
            "telephone_number": "570-399-5488",
            "fax_number": "570-399-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SUNBURY ST",
            "city": "MINERSVILLE",
            "state": "PA",
            "postal_code": "179541443",
            "telephone_number": "570-399-5488",
            "fax_number": "570-399-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERSVILLE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "KUSHWARRA",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "570-399-5488",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY PERMIT",
            "identifier": "PP482314",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minersville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa L. McCormick, M.S. CCC-SLP
• Kevin M McNamara, BCBA
• Med-Way Medical Supply
• Minerss Specialty Pharmacy Inc
• Minersville Area School District
• Mint Smiles Dental PC
• Paul Moran, RPH
• Carol Ann Palmer
• Jigisha Patel
• Maureen H Patterson

• Community/Retail Pharmacy in Minersville, PA
• Providers in Minersville, 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 Oct 19, 2012; 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.