Organization Active NPI

Dierkens Pharmacy

  • Community/Retail Pharmacy
  • Monongahela, PA
National Provider Identifier
1043377377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP410597L Issued in PA
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.

National Provider Directory

National Provider Directory
Tax ID family
Dierkens Pharmacy (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP410597L PA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
3944609OtherNCPDP

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.

Verify at the official NPI Registry.