Organization Active NPI

Corry National Pharmacy Systems, LLC

  • Health Service Clinic/Center
  • Erie, PA
National Provider Identifier
1447012232
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CORRY NATIONAL PHARMACY SYSTEMS, LLC
Practice address
2501 Manchester Rd
Erie, PA 16506-1007
Phone
(814) 656-4405
NPI assigned
Jan 26, 2024
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Mr. Andrew Bruce Stanko, MD
Title
Medical Director
Phone
(814) 656-4405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

2501 Manchester Rd
Erie, PA 16506-1007

Mailing address

2501 Manchester Rd
Erie, PA 16506-1007
Phone (814) 656-4405

National Provider Directory

National Provider Directory

Locations

2501 Manchester Rd
Erie, PA 16506
Phone (814) 656-4405

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1447012232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 MANCHESTER RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061007",
            "telephone_number": "814-656-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 MANCHESTER RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061007",
            "telephone_number": "814-656-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRY NATIONAL PHARMACY SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "STANKO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "814-656-4405",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.