Spartansburg Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482257 Issued in PA

Legal business name

SPARTANSBURG PHARMACY LLC

Doing business as

Spartansburg Pharmacy

Practice address

317 Main St
Spartansburg, PA 16434-1057

Phone

(814) 654-2333

Fax

(814) 654-2334

NPI assigned

Jun 1, 2012

Organization subpart

No

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

Authorized official

Name

Charleen Hajec

Title

Owner/Pharmacy Manager

Phone

(814) 654-2333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spartansburg Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1336400746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 MAIN STREET",
            "city": "SPARTANSBURG",
            "state": "PA",
            "postal_code": "16434",
            "telephone_number": "814-654-2333",
            "fax_number": "814-654-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 MAIN ST",
            "city": "SPARTANSBURG",
            "state": "PA",
            "postal_code": "164341057",
            "telephone_number": "814-654-2333",
            "fax_number": "814-654-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANSBURG PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "HAJEC",
        "authorized_official_first_name": "CHARLEEN",
        "authorized_official_title_or_position": "OWNER/PHARMACY MANAGER",
        "authorized_official_telephone_number": "814-654-2333"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3997460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spartansburg Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel S Hensler, D.C.
• Wendelin Jaworski, CRNP
• John E Balmer Jr. DO
• Kayla King, NTP
• Jennifer L. Schoch, CRNP
• Spartansburg Volunteer Fire Dept & Relief Assn

• Community/Retail Pharmacy in Spartansburg, PA
• Providers in Spartansburg, 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 Jun 6, 2012; 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.