Longenecker Pharmacy Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PP411519L Issued in PA

Legal business name

LONGENECKER PHARMACY INC.

Practice address

108 W 1St Ave
Parkesburg, PA 19365-1259

Phone

(610) 857-2114

Fax

(610) 857-0179

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. J. Richard Brown, R.PH.

Title

President

Phone

(610) 857-2114

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285675066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W 1ST AVE",
            "city": "PARKESBURG",
            "state": "PA",
            "postal_code": "193651259",
            "telephone_number": "610-857-2114",
            "fax_number": "610-857-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W 1ST AVE",
            "city": "PARKESBURG",
            "state": "PA",
            "postal_code": "193651259",
            "telephone_number": "610-857-2114",
            "fax_number": "610-857-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGENECKER PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-857-2114",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP411519L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19/00564088/01",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Parkesburg, PA
• Providers in Parkesburg, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.