Organization Active NPI

Fayette Foods, LLC

  • Community/Retail Pharmacy
  • Bridgeville, PA
National Provider Identifier
1316968993
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP415545 Issued in PA
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 Directory

Locations

3239 Washington Pike
Bridgeville, PA 15017
Phone (412) 914-0752

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP415545 PA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
001800591001MedicaidPA
PP415545OtherPAPA STATE PHARMACY PERMIT
3976430OtherNCPDP

Other names 1

NPPES NPI Registry
  • Shop-n-Save Food & Drug Doing business as

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.

Verify at the official NPI Registry.