Fred B Appleby Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410070L Issued in PA

Legal business name

FRED B APPLEBY INC

Practice address

133 E Shirley St
Mount Union, PA 17066-1625

Phone

(814) 542-4412

Fax

(814) 542-2960

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Troy Parsons, RPH

Title

Phmct Owner

Phone

(814) 542-4412

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• APPLEBYS DRUG STORE Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Fred B Appleby Inc2 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.

• Fred B Appleby Inc

  • Long Term Care Pharmacy
  • Mount Union, PA
  • NPI 1124800727
  NPD tax ID

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1174534747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E SHIRLEY ST",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170661625",
            "telephone_number": "814-542-4412",
            "fax_number": "814-542-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E SHIRLEY ST",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170661625",
            "telephone_number": "814-542-4412",
            "fax_number": "814-542-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED B APPLEBY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PHMCT OWNER",
        "authorized_official_telephone_number": "814-542-4412",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410070L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081354",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1299813",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPLEBYS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Broad Top Area Medical Center, Inc
• Kevin Charles Capp, DO
• Jenna Danyel Crotsley, COTA/L
• Kristen Michele Devlin, RN
• Fred B Appleby Inc
• Haley Ann Garlock
• HBD Services, LLC
• Karly Hess, M.S., CCC-SLP
• Jason Albert Hockenberry, D.C.
• Steward Craig Hoffman, PAC

• All providers in Mount Union, PA
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.