Organization Active NPI

Dierkens Pharmacy

  • Pharmacist
  • Monongahela, PA
National Provider Identifier
1073535951
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
DIERKENS PHARMACY
Practice address
246 W Main St
Monongahela, PA 15063-2443
Phone
(724) 258-5530
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeffrey Markovitz
Title
Owner
Phone
(724) 258-5530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

246 W Main St
Monongahela, PA 15063-2443

Mailing address

246 W Main St
Monongahela, PA 15063-2443
Phone (724) 258-5530

Other identifiers 1

IdentifierTypeStateIssuer
3944609OtherNCPDP

National Provider Directory

National Provider Directory
Tax ID family
Dierkens Pharmacy2 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.

Locations

246 W Main St
Monongahela, PA 15063
Phone (724) 258-5530

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073535951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 W MAIN ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150632443",
            "telephone_number": "724-258-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 W MAIN ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150632443",
            "telephone_number": "724-258-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIERKENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARKOVITZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-258-5530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3944609",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.