NPIMap

Organization Active NPI

Tablett Inc

Doing business as The Medicine Shoppe

  • Community/Retail Pharmacy
  • Shamokin, PA
National Provider Identifier
1184601312
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TABLETT INC
Doing business as
The Medicine Shoppe
Practice address
605 N Shamokin St
Shamokin, PA 17872
Phone
(570) 648-5242
Fax
(570) 648-3606
NPI assigned
Dec 29, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Thomas A Bradley, RPHNPI 1386622678
Title
President
Phone
(570) 648-5242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP414448L PA
Community/Retail Pharmacy 3336C0003X PA Primary

Addresses

Primary practice location

605 N Shamokin St
Shamokin, PA 17872

Mailing address

605 N Shamokin St
Shamokin, PA 17872
Phone (570) 648-5242

Other identifiers 2

IdentifierTypeStateIssuer
0012368040001MedicaidPA
3962378OtherPANCPDP #

Other names 1

  • The Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1184601312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N SHAMOKIN ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "17872",
            "telephone_number": "570-648-5242",
            "fax_number": "570-648-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N SHAMOKIN ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "17872",
            "telephone_number": "570-648-5242",
            "fax_number": "570-648-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABLETT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-648-5242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP414448L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012368040001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3962378",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shamokin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.