James Drug Store-Portage LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP481904 Issued in PA

Legal business name

JAMES DRUG STORE-PORTAGE LLC

Practice address

3692 Portage St
Portage, PA 15946-6540

Phone

(814) 713-8074

NPI assigned

Feb 20, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Donald Anthony Della, RPH

Title

Owner

Phone

(814) 886-2266

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266624000000",
    "number": "1073835872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3692 PORTAGE ST",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159466540",
            "telephone_number": "814-713-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 PORTAGE ST",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159466540",
            "telephone_number": "814-713-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES DRUG STORE-PORTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-20",
        "last_updated": "2010-02-20",
        "status": "A",
        "authorized_official_last_name": "DELLA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-886-2266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Fleck, RPH
• Tina Freiwald, RD, LDN
• Dale M Goughnour, DPM
• James Michael Herald, D.C.
• Thyra Ann Jacobs, MA, ATR-BC, LPC
• Jost Enterprises
• Christine Jubina
• Lakin E Kalinoski, PTA
• Megan Kester
• Makayla Lynne Klock, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; 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.