Active NPI
Precision Care Pharmacy
- Long Term Care Pharmacy
- Latrobe, PA
National Provider Identifier
1184775306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PP481107
- Legal business name
- PRECISION CARE PHARMACY
- Practice address
- 1906 Dailey Ave
Latrobe, PA 15650-3030 - Phone
- (724) 532-2120
- Fax
- (724) 532-5808
- NPI assigned
- Jan 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig M Taylor
- Title
- Vice President
- Phone
- (724) 532-2120
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PP481107 | PA | |
| Long Term Care Pharmacy | 3336L0003X | PP481107 | PA | Primary |
Addresses
Primary practice location
1906 Dailey Ave
Latrobe, PA 15650-3030
Mailing address
1906 Dailey Ave.
Latrobe, PA 15650-3030
Phone (724) 532-2120
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018911480003 | Medicaid | PA | |
| 3980314 | Other | PA | NABP-NCPDP |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439164800000",
"number": "1184775306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 DAILEY AVE.",
"city": "LATROBE",
"state": "PA",
"postal_code": "156503030",
"telephone_number": "724-532-2120",
"fax_number": "724-532-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 DAILEY AVE",
"city": "LATROBE",
"state": "PA",
"postal_code": "156503030",
"telephone_number": "724-532-2120",
"fax_number": "724-532-5808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION CARE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2015-08-10",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "724-532-2120"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP481107",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "PA",
"license": "PP481107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018911480003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP-NCPDP",
"identifier": "3980314",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latrobe, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.