Active NPI
Clemens Market Inc
Doing business as Clemens Pharmacy
- Community/Retail Pharmacy
- Center Square, PA
National Provider Identifier
1144320458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP415767L
- Legal business name
- CLEMENS MARKET INC
- Doing business as
- Clemens Pharmacy
- Practice address
- Rte 202 and 73
Center Square Plaza
Center Square, PA 19422 - Phone
- (610) 279-9869
- Fax
- (610) 279-9612
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald Shapiro
- Title
- Dir of Pharmacy
- Phone
- (215) 361-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP415767L | PA | Primary |
Addresses
Primary practice location
Rte 202 and 73
Center Square Plaza
Center Square, PA 19422
Mailing address
Rte 202 and 73
Center Square Plaza
Center Square, PA 19422
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3978890 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 1007768230001 | Medicaid | PA |
Other names 1
- CLEMENS PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Clemens Market Inc
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Clemens Pharmacy at Harleysville
- Community/Retail Pharmacy
- Harleysville, PA
- NPI 1962502278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144320458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RTE 202 AND 73",
"address_2": "CENTER SQUARE PLAZA",
"city": "CENTER SQUARE",
"state": "PA",
"postal_code": "19422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RTE 202 AND 73",
"address_2": "CENTER SQUARE PLAZA",
"city": "CENTER SQUARE",
"state": "PA",
"postal_code": "19422",
"telephone_number": "610-279-9869",
"fax_number": "610-279-9612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEMENS MARKET INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHAPIRO",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "DIR OF PHARMACY",
"authorized_official_telephone_number": "215-361-9000"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP415767L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3978890",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007768230001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CLEMENS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Center Square, 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.