Organization Active NPI

Altoona Union Avenue Pharmacy

  • Community/Retail Pharmacy
  • Altoona, PA
National Provider Identifier
1366780405
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP410789L Issued in PA
Legal business name
ALTOONA UNION AVENUE PHARMACY
Practice address
2411 8TH Ave
Altoona, PA 16602-2105
Phone
(814) 944-2095
Fax
(814) 949-9575
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Mr. William Edward Earnest, RHHNPI 1952647240
Title
President
Phone
(814) 944-2095

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
Community/Retail Pharmacy 3336C0003X PP410789L PA Primary

Addresses

Primary practice location

2411 8TH Ave
Altoona, PA 16602-2105

Mailing address

2411 8TH Ave
Altoona, PA 16602-2105
Phone (814) 944-2095

Other names 1

  • THE MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

2411 8th Ave
Altoona, PA 16602
Phone (814) 944-2095

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": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1366780405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 8TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022105",
            "telephone_number": "814-944-2095",
            "fax_number": "814-949-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 8TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022105",
            "telephone_number": "814-944-2095",
            "fax_number": "814-949-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTOONA UNION AVENUE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "EARNEST",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-944-2095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RHH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410789L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.