Organization Active NPI

Stanton Negley Drug Co

  • Pharmacy
  • Pittsburgh, PA
National Provider Identifier
1386703924
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP412379L Issued in PA
Legal business name
STANTON NEGLEY DRUG CO
Practice address
804 N Negley Ave
Pittsburgh, PA 15206-1504
Phone
(412) 661-3315
Fax
(412) 661-1114
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Raymond VellkyNPI 1205414489
Title
Pharmacy Manager
Phone
(412) 661-3315

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP412379L PA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

804 N Negley Ave
Pittsburgh, PA 15206-1504

Mailing address

804 N Negley Ave
Pittsburgh, PA 15206-1504
Phone (412) 661-3315

Other identifiers 4

IdentifierTypeStateIssuer
0005612640001MedicaidPA
0139117000MedicaidWV
002420786MedicaidOH
3913995OtherPANABP #

National Provider Directory

National Provider Directory

Locations

804 N Negley Ave
Pittsburgh, PA 15206
Phone (412) 661-3315

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1386703924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N NEGLEY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061504",
            "telephone_number": "412-661-3315",
            "fax_number": "412-661-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N NEGLEY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061504",
            "telephone_number": "412-661-3315",
            "fax_number": "412-661-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANTON NEGLEY DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "VELLKY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "412-661-3315"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP412379L",
            "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": "0005612640001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139117000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002420786",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "3913995",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.