Northeast Pharmacy Services, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PP415689L Issued in PA

Legal business name

NORTHEAST PHARMACY SERVICES, INC.

Practice address

590 Coal Street
Lehighton, PA 18235-1339

Phone

(610) 377-9730

Fax

(610) 377-9510

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Glennon

Title

VP

Phone

(610) 377-9730

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104954916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 COAL STREET",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351339",
            "telephone_number": "610-377-9730",
            "fax_number": "610-377-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COAL STREET",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351339",
            "telephone_number": "610-377-9730",
            "fax_number": "610-377-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLENNON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-377-9730",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP415689L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018207070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in Lehighton, PA
• Providers in Lehighton, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• 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.