Evans City Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412566L Issued in PA

Legal business name

EVANS CITY DRUG STORE INC

Doing business as

Evans City Pharmacy and Gift Shoppe

Practice address

201 E Main St
Evans City, PA 16033-1219

Phone

(724) 538-4240

Fax

(724) 538-3826

NPI assigned

Nov 7, 2006

Last updated

Mar 13, 2017By 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

Jeffrey Mustovic, RPH

Title

President

Phone

(724) 538-4240

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• EVANS CITY PHARMACY AND GIFT SHOPPE Doing business as

Locations

Practitioners 4

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.

• Faithann Marian Mustovic, R.PH.

  • Pharmacist
  • Evans City, PA
  • NPI 1053459255
  NPD
• Rebecca S Brown, R.PH.

  • Pharmacist
  • Evans City, PA
  • NPI 1205974896
  NPD (past)
• Heather Ann Pence, PHARMD

  • Pharmacist
  • Evans City, PA
  • NPI 1770912065
  NPD (past)
• Susan Ann Rodack, RPH

  • Pharmacist
  • Saxonburg, PA
  • NPI 1548774136
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1114096807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MAIN ST",
            "city": "EVANS CITY",
            "state": "PA",
            "postal_code": "160331219",
            "telephone_number": "724-538-4240",
            "fax_number": "724-538-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MAIN ST",
            "city": "EVANS CITY",
            "state": "PA",
            "postal_code": "160331219",
            "telephone_number": "724-538-4240",
            "fax_number": "724-538-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS CITY DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "MUSTOVIC",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-538-4240",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412566L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087018",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011557890001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVANS CITY PHARMACY AND GIFT SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Cady
• Steven Milburn Crotzer, DC
• Dulak Physical Therapy and Golf LLC
• Cynthia Louise Elek-Mayer, RPH.
• Evans City Apothecary and Wellness Center
• Family Dentistry of Evans City
• David Michael Fast, MPT
• Lori Ann Glassbrenner, MOTR/L
• Gregory Hoeper, DC
• David A. Huber, D.M.D.

• Community/Retail Pharmacy in Evans City, PA
• Providers in Evans City, 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 13, 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.