Organization Active NPI

Klingensmith Rimersburg Inc.

Doing business as Klingensmith's Drug Store #5

  • Long Term Care Pharmacy
  • Rimersburg, PA
National Provider Identifier
1144897067
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KLINGENSMITH RIMERSBURG INC.
Doing business as
Klingensmith's Drug Store #5
Practice address
650 Main Street
Rimersburg, PA 16248-0504
Phone
(814) 473-3141
Fax
(814) 473-6461
NPI assigned
Jun 9, 2021
Last updated
Jun 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Jamie Davis
Title
3Rd Party Billing Admin/Lead Tech
Phone
(724) 763-4028

Specialties & licenses 1

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

Addresses

Primary practice location

650 Main Street
Rimersburg, PA 16248-0504

Mailing address

PO Box 151
Ford City, PA 16226-0151
Phone (724) 763-4028

Other identifiers 1

IdentifierTypeStateIssuer
14756160001MedicaidPA

Other names 1

  • Klingensmith's Drug Store #5 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1144897067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162260151",
            "telephone_number": "724-763-4028",
            "fax_number": "724-763-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MAIN STREET",
            "city": "RIMERSBURG",
            "state": "PA",
            "postal_code": "162480504",
            "telephone_number": "814-473-3141",
            "fax_number": "814-473-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLINGENSMITH RIMERSBURG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "3RD PARTY BILLING ADMIN/LEAD TECH",
        "authorized_official_telephone_number": "724-763-4028"
    },
    "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": "14756160001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klingensmith's Drug Store #5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rimersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.