Weatherly Area Community Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411148L Issued in PA

Legal business name

WEATHERLY AREA COMMUNITY PHARMACY LLC

Doing business as

Weatherly Area Community Pharmacy

Practice address

114 Carbon St
Weatherly, PA 18255-1435

Phone

(570) 427-4887

Fax

(570) 427-4891

NPI assigned

May 24, 2010

Organization subpart

No

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

Authorized official

Name

Edward MelberNPI 1760953780

Title

Owner

Phone

(570) 325-2912

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WEATHERLY AREA COMMUNITY PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Franklin Melber

  • Pharmacist
  • Weatherly, PA
  • NPI 1760953780
  NPD (past) Authorized official

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1083933469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CARBON ST",
            "city": "WEATHERLY",
            "state": "PA",
            "postal_code": "182551435",
            "telephone_number": "570-427-4887",
            "fax_number": "570-427-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CARBON ST",
            "city": "WEATHERLY",
            "state": "PA",
            "postal_code": "182551435",
            "telephone_number": "570-427-4887",
            "fax_number": "570-427-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERLY AREA COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "MELBER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-325-2912"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411148L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126214",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025287260001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEATHERLY AREA COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrian Secheresiu, MD
• Emilia Secheresiu, MD
• Christine Susan Stahler, OTR/L
• John T Timko, DDS
• Erika Vasconez, OTR/L
• Weatherly Area School District
• Weatherwood Rehabilitation and Healthcare LLC
• Melanie Jayne Zeigler, BSN, RN

• Community/Retail Pharmacy in Weatherly, PA
• Providers in Weatherly, 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 1, 2017; 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.