NPIMap

Organization Active NPI

Reddon Drug Co. Inc.

  • Community/Retail Pharmacy
  • Susquehanna, PA
National Provider Identifier
1043460405
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412034L Issued in PA
Legal business name
REDDON DRUG CO. INC.
Practice address
177 Erie Blvd
Susquehanna, PA 18847
Phone
(570) 853-4172
Fax
(570) 853-3892
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Miss Kathleen Reddon
Title
Owner
Phone
(570) 853-4172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP412034L PA Primary

Addresses

Primary practice location

177 Erie Blvd
Susquehanna, PA 18847

Mailing address

177 Erie Blvd
Susquehanna, PA 18847
Phone (570) 853-4172

National Provider Directory

National Provider Directory
Tax ID family
Reddon Drug Co Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1043460405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 ERIE BLVD",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "18847",
            "telephone_number": "570-853-4172",
            "fax_number": "570-853-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 ERIE BLVD",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "18847",
            "telephone_number": "570-853-4172",
            "fax_number": "570-853-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDON DRUG CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "REDDON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-853-4172",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412034L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Susquehanna, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.