Concordville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481323 Issued in PA

Legal business name

CONCORDVILLE PHARMACY INC

Practice address

790 E Baltimore Pike
Concordville, PA 19331

Phone

(610) 459-2424

Fax

(610) 558-9856

NPI assigned

Oct 10, 2006

Last updated

Mar 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Francis Dallura, RPHNPI 1548284607

Title

Pharmacy Manager

Phone

(610) 459-2424

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Francis Joseph D'Allura, BS

  • Pharmacist
  • Concordville, PA
  • NPI 1548284607
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1063509941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "city": "CONCORDVILLE",
            "state": "PA",
            "postal_code": "193310465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E BALTIMORE PIKE",
            "city": "CONCORDVILLE",
            "state": "PA",
            "postal_code": "19331",
            "telephone_number": "610-459-2424",
            "fax_number": "610-558-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "DALLURA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "610-459-2424",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3982623",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3982623",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008867900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Bartley
• Greta Bearce
• Dedra Bradham, M.A.
• Samuel P. Cimino, DDS
• Concordville Fire and Protective Association
• Michelle Cooper, MED CCC-SLP
• Francis Joseph D'Allura, BS
• Deeya Daniel, M.S.
• John Glavicic, RPH.
• John Albert Harris, D.C.

• Community/Retail Pharmacy in Concordville, PA
• Providers in Concordville, 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 Mar 14, 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.