Boltinghouse Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410295L Issued in PA

Legal business name

BOLTINGHOUSE CORPORATION

Doing business as

Burch Drug Store

Practice address

120 W Valley Ave
Elysburg, PA 17824-9703

Phone

(570) 672-2711

Fax

(570) 672-1311

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Kaye Boltinghouse, RPHNPI 1659978757

Title

Pharmacist in Charge/President

Phone

(570) 672-2711

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Burch Drug Store Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Kaye Boltinghouse, RPH

  • Pharmacist
  • Elysburg, PA
  • NPI 1659978757
  NPD Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1225179542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W VALLEY AVE",
            "city": "ELYSBURG",
            "state": "PA",
            "postal_code": "178249703",
            "telephone_number": "570-672-2711",
            "fax_number": "570-672-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W VALLEY AVE",
            "city": "ELYSBURG",
            "state": "PA",
            "postal_code": "178249703",
            "telephone_number": "570-672-2711",
            "fax_number": "570-672-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLTINGHOUSE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "BOLTINGHOUSE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/PRESIDENT",
        "authorized_official_telephone_number": "570-672-2711",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP410295L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410295L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241025591500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3917246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTHORIZATION TO ADMINISTER INJECTABLES",
            "identifier": "RPI002230",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burch Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fran Bakich, LMT, MMP
• Balance and Fall Prevention Clinic, Inc
• Rebekah Billig, RPH
• Bloomsburg Physicians Services
• Francis B Bobek, MD
• Karen Kaye Boltinghouse, RPH
• Neil Breskiewicz, DDS
• Susan Marie Brown, PHARMD
• Lacey Kay Bruner, PHARMD
• Douglas Scott Buffington, DO

• Community/Retail Pharmacy in Elysburg, PA
• Providers in Elysburg, 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 Sep 19, 2011; 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.