Active NPI
Fayette Foods, LLC
- Community/Retail Pharmacy
- Bridgeville, PA
National Provider Identifier
1316968993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP415545
- Legal business name
- FAYETTE FOODS, LLC
- Practice address
- 3239 Washington Pike
Bridgeville, PA 15017-1460 - Phone
- (412) 914-0752
- Fax
- (412) 914-0749
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Liz L Hoskins, RPH
- Title
- Pharmacist in Charge
- Phone
- (412) 914-0752
National Provider Directory
National Provider DirectoryLocations
3239 Washington Pike
Bridgeville, PA 15017
Phone (412) 914-0752
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP415545 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3239 Washington Pike
Bridgeville, PA 15017-1460
Mailing address
PO Box 188
Bridgeville, PA 15017-0188
Phone (412) 914-0752
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001800591001 | Medicaid | PA | |
| PP415545 | Other | PA | PA STATE PHARMACY PERMIT |
| 3976430 | Other | NCPDP |
Other names 1
NPPES NPI Registry- Shop-n-Save Food & Drug
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1316968993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150170188",
"telephone_number": "412-914-0752",
"fax_number": "412-914-0749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3239 WASHINGTON PIKE",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150171460",
"telephone_number": "412-914-0752",
"fax_number": "412-914-0749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAYETTE FOODS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "HOSKINS",
"authorized_official_first_name": "LIZ",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "412-914-0752",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP415545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001800591001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA STATE PHARMACY PERMIT",
"identifier": "PP415545",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3976430",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shop-n-Save Food & Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.