NPIMap

Organization Active NPI

Schuylkill Medical Center - East Norwegian Street Pharmacy

  • Pharmacy
  • Pottsville, PA
National Provider Identifier
1255509667
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
HP418077L Issued in PA
Legal business name
SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET PHARMACY
Practice address
700 E Norwegian St
Pottsville, PA 17901-2710
Phone
(570) 621-5111
NPI assigned
Feb 19, 2008
Last updated
Sep 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREETAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
John E Simodejka
Title
President & Chief Executive Officer
Phone
(570) 621-5111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X HP418077L PA Primary
Clinic Pharmacy 3336C0002X HP418077L PA

Addresses

Primary practice location

700 E Norwegian St
Pottsville, PA 17901-2710

Mailing address

700 E Norwegian St
Pottsville, PA 17901-2710
Phone (570) 621-5111

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan RMC3 organizations share this tax ID, including this one
Part of
Good Samaritan RMC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1255509667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E NORWEGIAN ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012710",
            "telephone_number": "570-621-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E NORWEGIAN ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012710",
            "telephone_number": "570-621-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCHUYLKILL MEDICAL CENTER - EAST NORWEGIAN STREET",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "SIMODEJKA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "570-621-5111"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "HP418077L",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "PA",
            "license": "HP418077L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.