NPIMap

Organization Active NPI

Clarion Development Corporation

Doing business as marienville pharmacy

  • Community/Retail Pharmacy
  • Marienville, PA
National Provider Identifier
1417044173
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP415304L Issued in PA
Legal business name
CLARION DEVELOPMENT CORPORATION
Doing business as
marienville pharmacy
Practice address
120 Cherry St
Marienville, PA 16239
Phone
(814) 927-8700
NPI assigned
Oct 6, 2006
Organization subpart
Yes
Parent organization
CLARION DEVELOPMENT CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Jennifer HawthornNPI 1043761307
Title
Manager
Phone
(814) 927-8700

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 PP415304L PA
Community/Retail Pharmacy 3336C0003X PP415304L PA Primary

Addresses

Primary practice location

120 Cherry St
Marienville, PA 16239

Mailing address

120 Cherry St.
P.O. Box 434
Marienville, PA 16239
Phone (814) 927-8700

Other identifiers 1

IdentifierTypeStateIssuer
1007277670007MedicaidPA

Other names 1

  • marienville pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marianne Pharmacy2 organizations share this tax ID, including this one
Part of
Marianne Pharmacy

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1417044173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHERRY ST.",
            "address_2": "P.O. BOX 434",
            "city": "MARIENVILLE",
            "state": "PA",
            "postal_code": "16239",
            "telephone_number": "814-927-8700",
            "fax_number": "814-927-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHERRY ST",
            "city": "MARIENVILLE",
            "state": "PA",
            "postal_code": "16239",
            "telephone_number": "814-927-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARION DEVELOPMENT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARION DEVELOPMENT CORPORATION",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "HAWTHORN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "814-927-8700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP415304L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415304L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007277670007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "marienville pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marienville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.