Organization Active NPI

Vaccare Pharmacy , Inc

  • Community/Retail Pharmacy
  • Greensburg, PA
National Provider Identifier
1306973391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412753L Issued in PA
Legal business name
VACCARE PHARMACY , INC
Practice address
110 N Main St
Greensburg, PA 15601-2404
Phone
(724) 827-1260
Fax
(724) 837-1261
NPI assigned
Feb 27, 2007
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
Mrs. Esther R Rahl, R.PH.NPI 1699295675
Title
President
Phone
(724) 837-1260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP412753L PA Primary

Addresses

Primary practice location

110 N Main St
Greensburg, PA 15601-2404

Mailing address

110 N Main St
Greensburg, PA 15601-2404
Phone (724) 827-1260

Other identifiers 1

IdentifierTypeStateIssuer
0011299110001MedicaidPA

National Provider Directory

National Provider Directory

Locations

110 N Main St
Greensburg, PA 15601
Phone (724) 827-1260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306973391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N MAIN ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012404",
            "telephone_number": "724-827-1260",
            "fax_number": "724-837-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N MAIN ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012404",
            "telephone_number": "724-827-1260",
            "fax_number": "724-837-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACCARE PHARMACY , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAHL",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-837-1260",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412753L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011299110001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, 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.