Miv Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481528 Issued in PA

Legal business name

MIV INC

Doing business as

M4 Pharmacy Services

Practice address

706 Main St
Freeland, PA 18224-1915

Phone

(570) 636-0480

Fax

(570) 636-0508

NPI assigned

Oct 20, 2006

Last updated

Mar 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelo Greco, RPH

Title

President

Phone

(570) 455-8081

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• M4 PHARMACY SERVICES Doing business as

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1396827192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX G",
            "city": "FREELAND",
            "state": "PA",
            "postal_code": "182240560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 MAIN ST",
            "city": "FREELAND",
            "state": "PA",
            "postal_code": "182241915",
            "telephone_number": "570-636-0480",
            "fax_number": "570-636-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-455-8081",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481528",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481528",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP481528",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3987382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M4 PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Micahel Angelo Lacey, RPH
• Cynthia Maczuga, M.D.
• Deborah A. Maier, O.T.R.
• Matthew John Makuta, D.M.D.
• Andrea Marchetti
• Nocchis Pharmacy LLC
• Northeast Counseling Services
• Robert E Ottaviani, DC
• Penn Jones Inc (Freeland Pharmacy)
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #10128)

• Community/Retail Pharmacy in Freeland, PA
• Providers in Freeland, 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 Mar 4, 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.