Shafer Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412249L Issued in PA

Legal business name

SHAFER DRUG STORE

Practice address

1328 Graham Ave
Windber, PA 15963-1708

Phone

(814) 467-4200

Fax

(814) 467-7412

NPI assigned

Jan 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edward F. Zablotney, R.PH.

Title

Owner

Phone

(814) 467-4200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1376699603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 GRAHAM AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631708",
            "telephone_number": "814-467-4200",
            "fax_number": "814-467-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 GRAHAM AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631708",
            "telephone_number": "814-467-4200",
            "fax_number": "814-467-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFER DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ZABLOTNEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-467-4200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412249L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3928150",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005846520001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel J Sann, CRNP
• Diosdado A Santiago, MD
• Sassy Medical Services LLC
• Rudolph Schilli, M.D.
• Marc D. Schminkey, LSW
• Allison Nicole Shaffer, DPT
• Laura Shields
• Gongliang Shue, M.D.
• Joseph Thomas Shuey, RPH
• Julia Simko, DPT

• Community/Retail Pharmacy in Windber, PA
• Providers in Windber, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.