NPIMap

Organization Active NPI

Mary Beth Marcoline

Doing business as Scerbos Pharmacy

  • Community/Retail Pharmacy
  • Clymer, PA
National Provider Identifier
1295888162
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARY BETH MARCOLINE
Doing business as
Scerbos Pharmacy
Practice address
530 Franklin St
Clymer, PA 15728-1183
Phone
(724) 254-4363
Fax
(724) 254-1390
NPI assigned
Jan 22, 2007
Last updated
Apr 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Mary Beth Marcoline
Title
Owner
Phone
(724) 254-4363

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

530 Franklin St
Clymer, PA 15728-1183

Mailing address

530 Franklin St
Clymer, PA 15728-1183
Phone (724) 254-4363

Other identifiers 1

IdentifierTypeStateIssuer
1204874MedicaidPA

Other names 1

  • Scerbos Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

530 Franklin St
Clymer, PA 15728
Phone (724) 254-4363

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1295888162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 FRANKLIN ST",
            "city": "CLYMER",
            "state": "PA",
            "postal_code": "157281183",
            "telephone_number": "724-254-4363",
            "fax_number": "724-254-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FRANKLIN ST",
            "city": "CLYMER",
            "state": "PA",
            "postal_code": "157281183",
            "telephone_number": "724-254-4363",
            "fax_number": "724-254-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BETH MARCOLINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "MARCOLINE",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-254-4363"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1204874",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scerbos Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clymer, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.