Hazle Drugs Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP411007L Issued in PA

Legal business name

HAZLE DRUGS INC

Practice address

1 E Broad St
Hazleton, PA 18201-6520

Phone

(570) 454-2476

Fax

(570) 454-4532

NPI assigned

Oct 18, 2005

Organization subpart

No

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

Authorized official

Name

William Spear

Title

President

Phone

(570) 454-2476

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Lockwood Spear, R.PH.

  • Pharmacist
  • Hazleton, PA
  • NPI 1851423149
  NPD
• William Logan Spear

  • Pharmacist
  • Hazleton, PA
  • NPI 1689302630
  NPD
• Lori Ann Gormley, R.PH.

  • Pharmacist
  • Hazleton, PA
  • NPI 1073645370
  NPD (past)
• Wendy Kristina Marek, PHARMD

  • Pharmacist
  • Hazleton, PA
  • NPI 1013152156
  NPD (past)
• Jon Russell, R.PH.

  • Pharmacist
  • Hazleton, PA
  • NPI 1255463568
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1386633709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016520",
            "telephone_number": "570-454-2476",
            "fax_number": "570-454-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "SPEAR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-454-2476"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP411007L",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007606540004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3918173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leanne C Hardy, MA NCC LPC
• Francis Harmonosky, MSPT
• Tara M Harmonosky, CRNP
• Christopher Hartwell
• Hazle Compounding
• Hazleton Ambulatory Surgical Center LLC
• Hazleton Ambulette Services Inc.
• Hazleton Anesthesia Services, P.C.
• Hazleton Area School District
• Hazleton Children'S Medical Associates

• Pharmacy in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.