Active NPI
Pharmacpo 2 Inc
- Community/Retail Pharmacy
- Williamsport, PA
National Provider Identifier
1396765269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP412323L
- Legal business name
- PHARMACPO 2 INC
- Practice address
- 1009 Washington Blvd
Williamsport, PA 17701-3633 - Phone
- (570) 323-7344
- Fax
- (570) 323-9285
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wayne A Miller, RPH
- Title
- Owner/President
- Phone
- (570) 323-7344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP412323L | PA | Primary |
Addresses
Primary practice location
1009 Washington Blvd
Williamsport, PA 17701-3633
Mailing address
1009 Washington Boulevard
Williamsport, PA 17701
Phone (570) 323-7344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3950361 | Other | PA | NCPDP # |
| 0010208030005 | Medicaid | PA |
Other names 1
- MEDICAP PHARMACY
National Provider Directory
National Provider DirectoryLocations
1009 Washington Blvd
Williamsport, PA 17701
Phone (570) 320-0189
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Williamsport, PA
- NPI 1629059332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1396765269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 WASHINGTON BOULEVARD",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "17701",
"telephone_number": "570-323-7344",
"fax_number": "570-323-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 WASHINGTON BLVD",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013633",
"telephone_number": "570-323-7344",
"fax_number": "570-323-9285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACPO 2 INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "570-323-7344",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP412323L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP #",
"identifier": "3950361",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010208030005",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICAP PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.