NPIMap

Organization Active NPI

John R Slagle

  • Long Term Care Pharmacy
  • Clarion, PA
National Provider Identifier
1407314883
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
JOHN R SLAGLE
Practice address
100 Liberty St
Clarion, PA 16214-1808
Phone
(814) 226-9310
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
John R Slagle
Title
Owner
Phone
(814) 226-9310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

100 Liberty St
Clarion, PA 16214-1808

Mailing address

100 Liberty St
Clarion, PA 16214-1808
Phone (814) 226-9310

Other identifiers 1

IdentifierTypeStateIssuer
100772724210005MedicaidPA

Other names 1

  • THE MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John R Slagle5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Liberty St
Clarion, PA 16214
Phone (814) 226-9310

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1407314883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LIBERTY ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141808",
            "telephone_number": "814-226-9310",
            "fax_number": "814-226-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LIBERTY ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141808",
            "telephone_number": "814-226-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R SLAGLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "SLAGLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-226-9310"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100772724210005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.