Medicine Shoppe of Kittanning

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDICINE SHOPPE OF KITTANNING

Practice address

262 S Water St
Kittanning, PA 16201-2451

Phone

(724) 545-7350

Fax

(724) 545-7352

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Virgil Davis, RPH

Title

Owner Pharmacist

Phone

(724) 545-7350

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1184750580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 S WATER ST",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 S WATER ST",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012451",
            "telephone_number": "724-545-7350",
            "fax_number": "724-545-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE SHOPPE OF KITTANNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "724-545-7350",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413839L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011831570001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3959333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber McCullough, LAPC
• Kayla S McGregor, PA-C
• Kiley Michele McIntyre, LPN
• Veronica McKernan, RN
• Lena McLaughlin, FNP-BC
• James Elton Meehan, O.D.
• Rajil Mehta
• Melody Manor, Inc.
• Richard A Mercurio, MD
• Mercurio, Richard a., M.D., PC

• Community/Retail Pharmacy in Kittanning, PA
• Providers in Kittanning, 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 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.