NPIMap

Organization Active NPI

Nazareth Pharmacy Inc

  • Community/Retail Pharmacy
  • Nazareth, PA
National Provider Identifier
1356443642
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411674L Issued in PA
Legal business name
NAZARETH PHARMACY INC
Doing business as
Nazareth Medical Equipment
Practice address
19 S Broad St
Nazareth, PA 18064-2116
Phone
(610) 759-3240
Fax
(610) 746-0946
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Thomas E Kavanagh, RPHNPI 1417087891
Title
President
Phone
(610) 759-3240

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 48107286 PA
Oxygen Equipment & Supplies (DME) 332BX2000X 48107286 PA
Community/Retail Pharmacy 3336C0003X PP411674L PA Primary
Prosthetic/Orthotic Supplier 335E00000X 48107286 PA

Addresses

Primary practice location

19 S Broad St
Nazareth, PA 18064-2116

Mailing address

19 S Broad St
Nazareth, PA 18064-2116
Phone (610) 759-3240

Other identifiers 3

IdentifierTypeStateIssuer
0005835840003MedicaidPA
PP411674LOtherPAPHARMACY LICENSE
0005835840002MedicaidPA

Other names 1

  • Nazareth Medical Equipment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nazareth Medical Equipment2 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.

Locations

19 S Broad St
Nazareth, PA 18064
Phone (610) 759-3240

Practitioners & affiliated clinicians

Practitioners 1

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": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1356443642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S BROAD ST",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642116",
            "telephone_number": "610-759-3240",
            "fax_number": "610-746-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S BROAD ST",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642116",
            "telephone_number": "610-759-3240",
            "fax_number": "610-746-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KAVANAGH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-759-3240",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "48107286",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "48107286",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411674L",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "48107286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005835840003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PP411674L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005835840002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nazareth Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.