Organization Active NPI

James E Lynn

Doing business as Smithfield Pharmacy

  • Community/Retail Pharmacy
  • Smithfield, PA
National Provider Identifier
1417088345
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP410955L Issued in PA
Legal business name
JAMES E LYNN
Doing business as
Smithfield Pharmacy
Practice address
102 Main St
Smithfield, PA 15478-8900
Phone
(724) 569-5280
Fax
(724) 569-1440
NPI assigned
Mar 9, 2007
Last updated
Oct 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
James LynnNPI 1942299466
Title
Owner
Phone
(724) 569-5280

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
Community/Retail Pharmacy 3336C0003X PP410955L PA Primary

Addresses

Primary practice location

102 Main St
Smithfield, PA 15478-8900

Mailing address

PO Box 902
Smithfield, PA 15478-0902

Other identifiers 2

IdentifierTypeStateIssuer
0009422600001MedicaidPA
3946728OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SMITHFIELD PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

102 Main St
Smithfield, PA 15478
Phone (724) 569-5280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1417088345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "SMITHFIELD",
            "state": "PA",
            "postal_code": "154780902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "city": "SMITHFIELD",
            "state": "PA",
            "postal_code": "154788900",
            "telephone_number": "724-569-5280",
            "fax_number": "724-569-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E LYNN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-569-5280"
    },
    "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": "PP410955L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009422600001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3946728",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMITHFIELD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.