Forlenza'S Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

PP-411080-L Issued in PA

Legal business name

FORLENZA'S PHARMACY

Practice address

531 Main St
Edwardsville, PA 18704-2597

Phone

(570) 288-6626

Fax

(570) 288-9764

NPI assigned

Jun 8, 2005

Organization subpart

No

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

Authorized official

Name

Dr. John Paul Forlenza, P.D.

Title

Owner/Manager

Phone

(570) 288-6626

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Forlenza's Nutritional-Wellness Center and Compounding Pharmacy Doing business as

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1376547265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MAIN ST",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187042597",
            "telephone_number": "570-288-6626",
            "fax_number": "570-288-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MAIN ST",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187042597",
            "telephone_number": "570-288-6626",
            "fax_number": "570-288-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORLENZA'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "FORLENZA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "570-288-6626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP-411080-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24-001095690-0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMITTER ID#",
            "identifier": "A08000792",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "39-54496",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24001095690-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forlenza's Nutritional-Wellness Center and Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Edwardsville, PA
• Providers in Edwardsville, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.