Madjak Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP415319L Issued in PA

Legal business name

MADJAK INC

Doing business as

Medicine Shoppe

Practice address

730 S Main St
Old Forge, PA 18518-1459

Phone

(570) 457-3372

Fax

(570) 457-2679

NPI assigned

Jan 23, 2007

Last updated

Mar 7, 2023By 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

Albert S Bilski Jr., RPH

Title

RPH

Phone

(570) 457-3372

Specialties & licenses 2

Addresses

Other names 1

• MEDICINE SHOPPE Doing business as

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1407900855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S MAIN ST",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S MAIN ST",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181459",
            "telephone_number": "570-457-3372",
            "fax_number": "570-457-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADJAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BILSKI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "570-457-3372",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415319L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Lee
• Renee Lenceski, DPT
• Payton Lepore
• Allison Ann Lucarelli, PHARMD
• Caitlin Ashley Mackrell, PTA,LAT,ATC
• Marianne J. Santioni, D.O., PC
• Catherine Elizabeth Mars, L.P.N.
• Shawn McNamara
• Megan L Merrick
• Michael a Jalowiec DO PC

• Community/Retail Pharmacy in Old Forge, PA
• Providers in Old Forge, 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 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.

Verify at the official NPI Registry.