P B Hillban LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412117L Issued in PA

Legal business name

P B HILLBAN LLC

Doing business as

The Medicine Shoppe Pharmacy

Practice address

100 Hazle St
Wilkes Barre, PA 18702-4365

Phone

(570) 823-0511

Fax

(570) 823-1252

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Marguerite Freeman

Title

Owner

Phone

(570) 823-0511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Medicine Shoppe Pharmacy Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Frank, PHARMD

  • Pharmacist
  • Wilkes Barre, PA
  • NPI 1821366105
  NPD (past)
• Richard Lewis Frantz, PHARM D

  • Pharmacist
  • Wilkes Barre, PA
  • NPI 1467867630
  NPD (past)
• Marc Kemmerer, RPH

  • Pharmacist
  • Wilkes Barre, PA
  • NPI 1225583081
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1053423061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAZLE ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187024365",
            "telephone_number": "570-823-0511",
            "fax_number": "570-823-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAZLE ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187024365",
            "telephone_number": "570-823-0511",
            "fax_number": "570-823-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P B HILLBAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MARGUERITE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-823-0511"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412117L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137679",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Ott, DPT
• Jacqueline Clare Oxenberg, DO
• Yagiz Ozdag, MD
• Ayse Elif Ozdener, PHARMD
• Alisha Ann Ozehoski, LAPC
• Andrea Pabon, MSW
• Maria Pacyna, DO
• Todd Paczewski, D.M.D.
• Heather Renae Paduck, P.A.-C
• Jamie L Padula, LPC

• Community/Retail Pharmacy in Wilkes Barre, PA
• Providers in Wilkes Barre, 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 Jul 5, 2016; 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.