NPIMap

Organization Active NPI

Diamond Drugs, Inc.

  • Pharmacy
  • Indiana, PA
National Provider Identifier
1124417977
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP482525 Issued in PA
Legal business name
DIAMOND DRUGS, INC.
Practice address
625 Kolter Dr
Suite 2
Indiana, PA 15701-3571
Phone
(844) 787-3613
Fax
(844) 787-3614
NPI assigned
Jan 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Mrs. Louann Bowser
Title
Chief Financial Officer
Phone
(724) 349-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP482525 PA Primary

Addresses

Primary practice location

625 Kolter Dr
Suite 2
Indiana, PA 15701-3571

Mailing address

645 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 349-1111

Other identifiers 1

IdentifierTypeStateIssuer
PP482525OtherPAPHARMACY LICENSE

Other names 1

  • Diamond Pharmacy Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diamond Drug10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

625 Kolter Dr
Ste 2
Indiana, PA 15701
Phone (844) 787-3613

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1124417977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-349-1111",
            "fax_number": "724-349-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KOLTER DR",
            "address_2": "SUITE 2",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013571",
            "telephone_number": "844-787-3613",
            "fax_number": "844-787-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "BOWSER",
        "authorized_official_first_name": "LOUANN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "724-349-1111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PP482525",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.