Newport Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NEWPORT PHARMACY LLC

Doing business as

Newport Pharmacy

Practice address

57 S 2ND St
Newport, PA 17074-1402

Phone

(717) 204-7676

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Praveen K Jampana

Title

Owner

Phone

(443) 285-2669

Specialties & licenses 1

Addresses

Other names 1

• Newport Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1275146177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 SUMMIT WAY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502681",
            "telephone_number": "443-285-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 S 2ND ST",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170741402",
            "telephone_number": "717-204-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "JAMPANA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-285-2669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pinnacle Health Medical Services (Pinnacle Health Family Care - Newport)

• Community/Retail Pharmacy in Newport, PA
• Providers in Newport, 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 Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.