Duncansville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410902L Issued in PA

Legal business name

DUNCANSVILLE PHARMACY INC

Doing business as

Duncansville Pharmacy

Practice address

1328 3Rd Ave
Duncansville, PA 16635-1247

Phone

(814) 695-8065

Fax

(814) 693-2770

NPI assigned

Sep 22, 2006

Last updated

Nov 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald Dick, RPHNPI 1134265671

Title

Owner and Pharmacist

Phone

(814) 695-8065

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DUNCANSVILLE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Duncansville Pharmacy2 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.

• Duncansville Pharmacy Inc

  • Long Term Care Pharmacy
  • Duncansville, PA
  • NPI 1336902253
  NPD tax ID

Locations

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.

• Ronald C Dick, R.PH.

  • Pharmacist
  • Duncansville, PA
  • NPI 1134265671
  NPD Authorized official
• Patricia L Parrish, RPH

  • Pharmacist
  • Duncansville, PA
  • NPI 1174662639
  NPD
• Lisa Marie Link

  • Pharmacist
  • Duncansville, PA
  • NPI 1336288588
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1184724155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166350126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 3RD AVE",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166351247",
            "telephone_number": "814-695-8065",
            "fax_number": "814-693-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCANSVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "DICK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "814-695-8065",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410902L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1391202",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081430",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUNCANSVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Duncansville, PA
• Providers in Duncansville, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.