Burrell Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PP414776L Issued in PA

Legal business name

BURRELL PHARMACY INC

Doing business as

Leechburg Pharmacy Long Term Care

Practice address

111 2ND St
Leechburg, PA 15656-1326

Phone

(724) 845-1184

Fax

(724) 842-2071

NPI assigned

Oct 21, 2006

Organization subpart

No

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

Authorized official

Name

Alexander J Micklow, R.PH.

Title

Secretary

Phone

(724) 845-1184

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Leechburg Pharmacy Long Term Care Doing business as

Locations

Practitioners 1

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

• Richard Joseph Dodek

  • Pharmacist
  • Leechburg, PA
  • NPI 1740533504
  NPD (past)

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1356424709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 2ND ST",
            "address_2": "SUITE 200",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156561326",
            "telephone_number": "724-845-1184",
            "fax_number": "724-842-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 2ND ST",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156561326",
            "telephone_number": "724-845-1184",
            "fax_number": "724-842-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURRELL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "MICKLOW",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "724-845-1184",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP414776L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007627200003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3967215",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leechburg Pharmacy Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Borovik, MSW, LCSW
• Jared Bowser
• Cortney Branthoover, LPC
• Kevin Brown
• Andrew F Burkett
• Karen Gayle Chobirko, RPH
• Ted Cibik
• Amy Cignetti, PHARM.D
• Kimberly M Davis, RPH
• Richard Joseph Dodek

• Long Term Care Pharmacy in Leechburg, PA
• Providers in Leechburg, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.