Organization Active NPI

Southern Tier Community Health Center Network Inc

Doing business as UPC Community Pharmacy - Bradford

  • Community/Retail Pharmacy
  • Bradford, PA
National Provider Identifier
1063319903
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INC
Doing business as
UPC Community Pharmacy - Bradford
Practice address
110 Campus Dr RM P
Bradford, PA 16701-1982
Phone
(716) 375-7500
NPI assigned
Oct 23, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Eric B. Blake
Title
Chief Compliance Officer
Phone
(740) 452-7685

Specialties & licenses 1

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

Addresses

Primary practice location

110 Campus Dr RM P
Bradford, PA 16701-1982

Mailing address

110 Campus Dr RM P
Bradford, PA 16701-1982

Other names 1

  • UPC Community Pharmacy - Bradford Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1063319903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CAMPUS DR RM P",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CAMPUS DR RM P",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011982",
            "telephone_number": "716-375-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INC",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "740-452-7685"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPC Community Pharmacy - Bradford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.