Organization Active NPI

Precision Care Pharmacy

  • Long Term Care Pharmacy
  • Latrobe, PA
National Provider Identifier
1184775306
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP481107 Issued in PA
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

Updated by the provider on Aug 10, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0018911480003MedicaidPA
3980314OtherPANABP-NCPDP

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.