Organization Active NPI

Glassport Pharmacy LLC

Doing business as Medicine Stop

  • Pharmacy
  • Glassport, PA
National Provider Identifier
1255342895
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP481316 Issued in PA
Legal business name
GLASSPORT PHARMACY LLC
Doing business as
Medicine Stop
Practice address
937 Ohio Ave
Glassport, PA 15045-1634
Phone
(412) 678-9474
Fax
(412) 678-9497
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Eric Amber, RPH
Title
Manager
Phone
(724) 366-7175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP481316 PA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

937 Ohio Ave
Glassport, PA 15045-1634

Mailing address

937 Ohio Ave
Glassport, PA 15045-1634
Phone (412) 678-9474

Other identifiers 2

IdentifierTypeStateIssuer
3982558OtherOTHER ID NUMBER-COMMERCIAL NUMBER
01976218MedicaidPA

Other names 1

  • MEDICINE STOP Doing business as

National Provider Directory

National Provider Directory

Locations

937 Ohio Ave
Glassport, PA 15045
Phone (412) 678-9474

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1255342895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 OHIO AVE",
            "city": "GLASSPORT",
            "state": "PA",
            "postal_code": "150451634",
            "telephone_number": "412-678-9474",
            "fax_number": "412-678-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 OHIO AVE",
            "city": "GLASSPORT",
            "state": "PA",
            "postal_code": "150451634",
            "telephone_number": "412-678-9474",
            "fax_number": "412-678-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASSPORT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "AMBER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "724-366-7175",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481316",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3982558",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01976218",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE STOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glassport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.