Amalie Group LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PP482108 Issued in PA

Legal business name

AMALIE GROUP LLC

Doing business as

Tunkhannock Compounding Center

Practice address

230 W Tioga St
Suite 3
Tunkhannock, PA 18657-6667

Phone

(570) 996-0440

Fax

(570) 996-0217

NPI assigned

May 25, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Peter X Konicki, RPH

Title

President

Phone

(570) 996-0440

Specialties & licenses 1

Addresses

Other names 1

• Tunkhannock Compounding Center Doing business as

Locations

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1205129178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W TIOGA ST",
            "address_2": "SUITE 3",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186576667",
            "telephone_number": "570-996-0440",
            "fax_number": "570-996-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W TIOGA ST",
            "address_2": "SUITE 3",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186576667",
            "telephone_number": "570-996-0440",
            "fax_number": "570-996-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMALIE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KONICKI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-996-0440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "PA",
            "license": "PP482108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tunkhannock Compounding Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Compounding 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.