Homer City Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411188L Issued in PA

Legal business name

HOMER CITY PHARMACY INC

Doing business as

SALTSBURG PHARMACY

Practice address

237 Washington St
Saltsburg, PA 15681-1131

Phone

(724) 639-9022

Fax

(724) 639-3535

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

David MateerNPI 1194895367

Title

Owner Pharmacist

Phone

(724) 639-9022

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SALTSBURG PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Homer City Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Homer City Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Saltsburg, PA
  • NPI 1245300201
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David E. Mateer, RPH

  • Pharmacist
  • Saltsburg, PA
  • NPI 1194895367
  NPD Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1356352926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WASHINGTON ST",
            "city": "SALTSBURG",
            "state": "PA",
            "postal_code": "156811131",
            "telephone_number": "724-639-9022",
            "fax_number": "724-639-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 WASHINGTON ST",
            "city": "SALTSBURG",
            "state": "PA",
            "postal_code": "156811131",
            "telephone_number": "724-639-9022",
            "fax_number": "724-639-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "MATEER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "724-639-9022"
    },
    "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": "PP411188L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2085289",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014014820002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SALTSBURG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Eckenrode
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• Lisa Renee Fisanich, PHARM.D.
• Kaitlyn Gabriel
• Jessica Harkins
• Homer City Pharmacy, Inc.
• Keystone Rehabilitation Systems Inc
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• Lifestat Ambulance Service Inc

• Community/Retail Pharmacy in Saltsburg, PA
• Providers in Saltsburg, 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 Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.