NPIMap

Organization Active NPI

Punxsutawney Health Center Pharmacy LLC

  • Community/Retail Pharmacy
  • Punxsutawney, PA
National Provider Identifier
1134547144
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482461 Issued in PA
Legal business name
PUNXSUTAWNEY HEALTH CENTER PHARMACY LLC
Practice address
200 Prushnok Dr
Suite 102
Punxsutawney, PA 15767-2343
Phone
(814) 618-5957
Fax
(814) 618-5774
NPI assigned
Apr 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Mr. Michael Joseph Horner, RPH
Title
Member
Phone
(814) 938-3077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482461 PA Primary

Addresses

Primary practice location

200 Prushnok Dr
Suite 102
Punxsutawney, PA 15767-2343

Mailing address

200 Prushnok Dr
Suite 102
Punxsutawney, PA 15767-2343
Phone (814) 618-5957

Other names 1

  • The Medicine Shoppe #2003 Doing business as

National Provider Directory

National Provider Directory

Locations

200 Prushnok Dr
Ste 102
Punxsutawney, PA 15767
Phone (814) 618-5957

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1134547144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PRUSHNOK DR",
            "address_2": "SUITE 102",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672343",
            "telephone_number": "814-618-5957",
            "fax_number": "814-618-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PRUSHNOK DR",
            "address_2": "SUITE 102",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672343",
            "telephone_number": "814-618-5957",
            "fax_number": "814-618-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNXSUTAWNEY HEALTH CENTER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "814-938-3077",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe #2003",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Punxsutawney, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.