Family Pharmacy of Moscow Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482250 Issued in PA

Legal business name

FAMILY PHARMACY OF MOSCOW INC

Practice address

330 N Main St Ste 202
Moscow, PA 18444-9003

Phone

(570) 843-6369

Fax

(570) 843-6351

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Dennis Dougherty

Title

President

Phone

(570) 499-1900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Family Pharmacy of Moscow Doing business as

Locations

Practitioners 1

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

• Douglas Decantis, R.PH

  • Pharmacist
  • Moscow, PA
  • NPI 1588194948
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1124393970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449003",
            "telephone_number": "570-843-6369",
            "fax_number": "570-843-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST STE 202",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449003",
            "telephone_number": "570-843-6369",
            "fax_number": "570-843-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY OF MOSCOW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-499-1900"
    },
    "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": "PP482250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3996975",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy of Moscow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Richard Margerum Optometrist
• Eckerd Corporation
• Eihab Human Services Pennsylvania Inc
• John Frederick Erhard, DDS
• Eugene D Harasym MD
• Fern Hill Real Estate LLC
• James R Fruehan, D.M.D.
• Anita Gadberry, PH.D., MT-BC
• Francisco Gonzalez, MSPT
• Antony L Graham, DC

• Community/Retail Pharmacy in Moscow, PA
• Providers in Moscow, 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 30, 2012; 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.