Active NPI
Corry National Pharmacy Systems, LLC
- Health Service Clinic/Center
- Erie, PA
National Provider Identifier
1447012232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.