Organization Active NPI

Dauphin Professional Pharmacy Inc

  • Community/Retail Pharmacy
  • Dauphin, PA
National Provider Identifier
1376674473
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411726L Issued in PA
Legal business name
DAUPHIN PROFESSIONAL PHARMACY INC
Doing business as
Dauphin Professional Pharmacy Inc
Practice address
722 Allegheny St
Ste 1
Dauphin, PA 17018-8902
Phone
(717) 921-8921
Fax
(717) 921-8923
NPI assigned
Mar 8, 2007
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Florence Rusynyk, RPH
Title
President
Phone
(717) 921-8921

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP411726L PA Primary

Addresses

Primary practice location

722 Allegheny St
Ste 1
Dauphin, PA 17018-8902

Mailing address

722 Allegheny St
Ste 1
Dauphin, PA 17018-8902
Phone (717) 921-8921

Other identifiers 2

IdentifierTypeStateIssuer
3958090OtherNCPDP PROVIDER IDENTIFICATION NUMBER
001157380002MedicaidPA

Other names 1

  • DAUPHIN PROFESSIONAL PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1376674473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 ALLEGHENY ST",
            "address_2": "STE 1",
            "city": "DAUPHIN",
            "state": "PA",
            "postal_code": "170188902",
            "telephone_number": "717-921-8921",
            "fax_number": "717-921-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 ALLEGHENY ST",
            "address_2": "STE 1",
            "city": "DAUPHIN",
            "state": "PA",
            "postal_code": "170188902",
            "telephone_number": "717-921-8921",
            "fax_number": "717-921-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUPHIN PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "RUSYNYK",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-921-8921",
        "authorized_official_credential": "RPH"
    },
    "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": "PP411726L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3958090",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001157380002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAUPHIN PROFESSIONAL PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dauphin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.