Medicine Shoppe

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDICINE SHOPPE

Practice address

920 Lawrence Ave
Ellwood City, PA 16117-1850

Phone

(724) 752-9101

Fax

(724) 758-5070

NPI assigned

Nov 15, 2006

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

Bruce Griffin, RPH

Title

Owner Pharmacist

Phone

(724) 752-9101

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1427120229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 LAWRENCE AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LAWRENCE AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171850",
            "telephone_number": "724-752-9101",
            "fax_number": "724-758-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "724-752-9101",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP414507L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012541500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3963205",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Dibiagio DO PC (Mary Ann DiBiagio DO)
• Mary Ann Dibiagio, D.O., PC
• Julia Mascharka
• Joanna McAfee
• Michael K McFarland, PT
• Michael George Metelsky, DPT
• Emily Mock, DNP, CRNP-BC
• Eric John Molyneaux, PHARMD
• Richard Wayne Mondak, MPAS PA-C
• Lenal Antoinette Morello, LISW-S

• Community/Retail Pharmacy in Ellwood City, PA
• Providers in Ellwood City, 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.