Organization Active NPI

Caruso Drug Store Inc

  • Pharmacy
  • New Bethlehem, PA
National Provider Identifier
1306827746
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP412141L Issued in PA
Legal business name
CARUSO DRUG STORE INC
Practice address
323 Broad St
New Bethlehem, PA 16242-1003
Phone
(814) 275-1156
Fax
(814) 275-4798
NPI assigned
Nov 11, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Autoinette Astori Caruso
Title
President
Phone
(814) 275-1156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP412141L PA Primary

Addresses

Primary practice location

323 Broad St
New Bethlehem, PA 16242-1003

Mailing address

323 Broad St
New Bethlehem, PA 16242-1003
Phone (814) 275-1156

Other identifiers 1

IdentifierTypeStateIssuer
0009276020001MedicaidPA

National Provider Directory

National Provider Directory

Locations

323 Broad St
New Bethlehem, PA 16242
Phone (814) 275-1156

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306827746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BROAD ST",
            "city": "NEW BETHLEHEM",
            "state": "PA",
            "postal_code": "162421003",
            "telephone_number": "814-275-1156",
            "fax_number": "814-275-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BROAD ST",
            "city": "NEW BETHLEHEM",
            "state": "PA",
            "postal_code": "162421003",
            "telephone_number": "814-275-1156",
            "fax_number": "814-275-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARUSO DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "AUTOINETTE",
        "authorized_official_middle_name": "ASTORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-275-1156",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP412141L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009276020001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bethlehem, PA

Sources for this page

  • 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.