NPIMap

Organization Active NPI

Decaria Brothers Inc

Doing business as Porters Prescription Pharmacy

  • Community/Retail Pharmacy
  • Coraopolis, PA
National Provider Identifier
1164568770
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411899L Issued in PA
Legal business name
DECARIA BROTHERS INC
Doing business as
Porters Prescription Pharmacy
Practice address
935 Beaver Grade Rd
Coraopolis, PA 15108-2790
Phone
(412) 264-2230
Fax
(412) 264-9497
NPI assigned
Jan 30, 2007
Last updated
Aug 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Edward Decaria, RPH
Title
RPH Pharmacy Manager
Phone
(412) 264-2230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP411899L PA Primary

Addresses

Primary practice location

935 Beaver Grade Rd
Coraopolis, PA 15108-2790

Mailing address

935 Beaver Grade Rd
Coraopolis, PA 15108-2790
Phone (412) 264-2230

Other names 1

  • PORTERS PRESCRIPTION PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081006000647 PA Part B Supplier - Mass Immunization (Roster Biller Only) 8426085861 1 other NPI on this enrollment
Practice locations: Coraopolis, PA; Burgettstown, PA
O20150707002892 PA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 8426085861 Practice locations: Coraopolis, PA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

935 Beaver Grade Rd
Moon Twp, PA 15108
Phone (412) 264-2230

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1164568770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 BEAVER GRADE RD",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082790",
            "telephone_number": "412-264-2230",
            "fax_number": "412-264-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 BEAVER GRADE RD",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082790",
            "telephone_number": "412-264-2230",
            "fax_number": "412-264-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECARIA BROTHERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "DECARIA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "RPH PHARMACY MANAGER",
        "authorized_official_telephone_number": "412-264-2230",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411899L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORTERS PRESCRIPTION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coraopolis, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.