Active NPI
Dierkens Pharmacy
- Community/Retail Pharmacy
- Monongahela, PA
National Provider Identifier
1043377377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP410597L
- Legal business name
- DIERKENS PHARMACY
- Practice address
- 246 W Main St
Monongahela, PA 15063-2443 - Phone
- (724) 258-5530
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Jeffrey A Markovitz
- Title
- Owner
- Phone
- (724) 258-5530
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Monongahela, PA
- NPI 1073535951
National Provider Directory
National Provider Directory- Tax ID family
- Dierkens Pharmacy
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP410597L | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
246 W Main St
Monongahela, PA 15063-2443
Mailing address
246 W Main St
Monongahela, PA 15063-2443
Phone (724) 258-5530
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3944609 | Other | NCPDP |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043377377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 W MAIN ST",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "150632443",
"telephone_number": "724-258-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 W MAIN ST",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "150632443",
"telephone_number": "724-258-5530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIERKENS PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARKOVITZ",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-258-5530",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP410597L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3944609",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monongahela, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.