Morrowise Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP482075 Issued in PA

Legal business name

MORROWISE INC

Doing business as

Lakeside Health Mart Pharmacy

Practice address

222 W Plum St Ste 500
Edinboro, PA 16412-2174

Phone

(814) 734-8500

Fax

(814) 734-8504

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Paul Berkebile, PHARM.D.

Title

Treasurer/Pharmacist

Phone

(814) 734-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeside Health Mart Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1053611392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W PLUM ST STE 500",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122174",
            "telephone_number": "814-734-8500",
            "fax_number": "814-734-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W PLUM ST STE 500",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122174",
            "telephone_number": "814-734-8500",
            "fax_number": "814-734-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORROWISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "BERKEBILE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "TREASURER/PHARMACIST",
        "authorized_official_telephone_number": "814-734-8500",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3994666",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Edinboro, PA
• Providers in Edinboro, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.