NPIMap

Organization Active NPI

Klingensmith Drug Inc

Doing business as Klingensmith's Drug Store #1

  • Long Term Care Pharmacy
  • Ford City, PA
National Provider Identifier
1023683117
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KLINGENSMITH DRUG INC
Doing business as
Klingensmith's Drug Store #1
Practice address
313 Ford St
Ford City, PA 16226-1268
Phone
(724) 763-1201
Fax
(724) 763-7571
NPI assigned
May 21, 2021
Last updated
Jan 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Jamie Davis
Title
3Rd Party Billing Admin/Lead Tech
Phone
(724) 763-4028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

313 Ford St
Ford City, PA 16226-1268

Mailing address

PO Box 151
Ford City, PA 16226-0151
Phone (724) 763-4028

Other identifiers 1

IdentifierTypeStateIssuer
1007742930023MedicaidPA

Other names 1

  • Klingensmith's Drug Store #1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Klingensmith Drug Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

313 Ford St
Ford City, PA 16226
Phone (724) 763-1201

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1023683117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162260151",
            "telephone_number": "724-763-4028",
            "fax_number": "724-763-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 FORD ST",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162261268",
            "telephone_number": "724-763-1201",
            "fax_number": "724-763-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLINGENSMITH DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "3RD PARTY BILLING ADMIN/LEAD TECH",
        "authorized_official_telephone_number": "724-763-4028"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007742930023",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klingensmith's Drug Store #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ford City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.