Scottdale Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412228L Issued in PA

Legal business name

SCOTTDALE PHARMACY INC

Practice address

222 Pittsburgh St
Scottdale, PA 15683-1735

Phone

(724) 887-6870

Fax

(724) 887-6422

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Barbara Hoffman, RPH

Title

President

Phone

(724) 887-6870

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SCOTTDALE PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1316044258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PITTSBURGH ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831735",
            "telephone_number": "724-887-6870",
            "fax_number": "724-887-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PITTSBURGH ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831735",
            "telephone_number": "724-887-6870",
            "fax_number": "724-887-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTDALE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-887-6870",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412228L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019540500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2080053",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCOTTDALE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi Schweizer, LSW
• Scottdale Family Health
• Scottdale Healthcare Operating LLC
• Scottdale Manor Rehabilitation Center LLC
• Scottdale PA Opco LLC
• David Alan Shepeck, OTR/L
• Hayley E Skovira, DPT
• Kelly Lynn Skovira, CRNP, DNP
• Kimberly Joan Skrabski, RPH
• Stefanie Snyder, R.N., CRNP

• Community/Retail Pharmacy in Scottdale, PA
• Providers in Scottdale, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.