NPIMap

Organization Active NPI

Waschkos Pharmacy Inc

  • Pharmacist
  • Hazleton, PA
National Provider Identifier
1285639492
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PP412827L Issued in PA
Legal business name
WASCHKOS PHARMACY INC
Doing business as
Waschkos Pharmacy Inc
Practice address
257 N Wyoming St
Hazleton, PA 18201-5563
Phone
(570) 454-2951
Fax
(570) 454-2951
NPI assigned
Jun 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Mr. George M Waschko, PHARMACIST
Title
President
Phone
(570) 454-2951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X PP412827L PA Primary

Addresses

Primary practice location

257 N Wyoming St
Hazleton, PA 18201-5563

Mailing address

257 N Wyoming St
Hazleton, PA 18201-5563
Phone (570) 454-2951

Other identifiers 1

IdentifierTypeStateIssuer
0005847880001MedicaidPA

Other names 1

  • Waschkos Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Waschko Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1285639492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 N WYOMING ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015563",
            "telephone_number": "570-454-2951",
            "fax_number": "570-454-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 N WYOMING ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015563",
            "telephone_number": "570-454-2951",
            "fax_number": "570-454-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASCHKOS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "WASCHKO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-454-2951",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP412827L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005847880001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waschkos Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.