Organization Active NPI

Fred B Appleby Inc

  • Long Term Care Pharmacy
  • Mount Union, PA
National Provider Identifier
1124800727
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FRED B APPLEBY INC
Practice address
133 E Shirley St
Mount Union, PA 17066-1625
Phone
(814) 542-4412
Fax
(814) 542-2960
NPI assigned
Oct 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Troy Parsons
Title
Phmct/Owner
Phone
(814) 542-4412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

133 E Shirley St
Mount Union, PA 17066-1625

Mailing address

133 E Shirley St
Mount Union, PA 17066-1625
Phone (814) 542-4412

Other identifiers 2

IdentifierTypeStateIssuer
1299813MedicaidPA
208354OtherPAPK

Other names 1

  • Appleby's Drug Store Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fred B Appleby Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

133 E Shirley St
Mount Union, PA 17066
Phone (814) 542-4412

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1124800727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E SHIRLEY ST",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170661625",
            "telephone_number": "814-542-4412",
            "fax_number": "814-542-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E SHIRLEY ST",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170661625",
            "telephone_number": "814-542-4412",
            "fax_number": "814-542-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED B APPLEBY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PHMCT/OWNER",
        "authorized_official_telephone_number": "814-542-4412"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1299813",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "208354",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appleby's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Union, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.