Organization Active NPI

Primecare Pharmacy Services Inc

  • Long Term Care Pharmacy
  • Scranton, PA
National Provider Identifier
1326188103
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP481068 Issued in PA
Legal business name
PRIMECARE PHARMACY SERVICES INC
Practice address
310 Adams Ave
2ND Floor
Scranton, PA 18503-1620
Phone
(570) 207-6860
Fax
(570) 207-6368
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Michael Ruane, RPHNPI 1962542886
Title
Pharmacist
Phone
(570) 207-6860

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
Long Term Care Pharmacy 3336L0003X PP481068 PA Primary

Addresses

Primary practice location

310 Adams Ave
2ND Floor
Scranton, PA 18503-1620

Mailing address

310 Adams Ave
2ND Floor
Scranton, PA 18503-1620
Phone (570) 207-6860

Other identifiers 1

IdentifierTypeStateIssuer
0018760990001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930054086 PA DME Supplier - Pharmacy 0042422743 Practice locations: Scranton, PA
O20201110001449 PA Part B Supplier - Mass Immunization (Roster Biller Only) 0042422743 Practice locations: Scranton, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Primecare Pharmacy Services Inc310 Adams Ave, Scranton, PA 18503-1626(570) 207-6860 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 1, 2001

National Provider Directory

National Provider Directory

Locations

310 Adams Ave
Fl 2
Scranton, PA 18503
Phone (570) 207-6860

Practitioners & affiliated clinicians

Practitioners 2

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1326188103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 ADAMS AVE",
            "address_2": "2ND FLOOR",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031620",
            "telephone_number": "570-207-6860",
            "fax_number": "570-207-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ADAMS AVE",
            "address_2": "2ND FLOOR",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031620",
            "telephone_number": "570-207-6860",
            "fax_number": "570-207-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "RUANE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "570-207-6860",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP481068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018760990001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.