NPIMap

Organization Active NPI

Prescriptions Plus of Connellsville

Doing business as Medmart Pharmacy

  • Community/Retail Pharmacy
  • Connellsville, PA
National Provider Identifier
1134288459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP415760L Issued in PA
Legal business name
PRESCRIPTIONS PLUS OF CONNELLSVILLE
Doing business as
Medmart Pharmacy
Practice address
2618 Memorial Blvd
Ste a
Connellsville, PA 15425-1419
Phone
(724) 628-7500
Fax
(724) 628-7550
NPI assigned
Dec 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Anthony M Muccino, RPH
Title
President
Phone
(724) 628-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP415760L PA Primary

Addresses

Primary practice location

2618 Memorial Blvd
Ste a
Connellsville, PA 15425-1419

Mailing address

2618 Memorial Blvd Ste a
Connellsville, PA 15425-1419
Phone (724) 628-7500

Other identifiers 2

IdentifierTypeStateIssuer
1016537570001MedicaidPA
3978713OtherPANABP

Other names 1

  • Medmart Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medmart Pharmacy2 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

2618 Memorial Blvd
Ste A
Connellsville, PA 15425
Phone (724) 628-7432

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134288459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 MEMORIAL BLVD STE A",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251419",
            "telephone_number": "724-628-7500",
            "fax_number": "724-628-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 MEMORIAL BLVD",
            "address_2": "STE A",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251419",
            "telephone_number": "724-628-7500",
            "fax_number": "724-628-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTIONS PLUS OF CONNELLSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUCCINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-628-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415760L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016537570001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3978713",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medmart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Connellsville, PA

Sources for this page

  • 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.