Boswell Prescription Center, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BOSWELL PRESCRIPTION CENTER, LLC

Practice address

210 Ohio St
Suite a
Boswell, PA 15531-1245

Phone

(814) 629-6624

NPI assigned

Aug 30, 2006

Last updated

Oct 31, 2014By 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

Jacqueline M Martella

Title

Pharmacist/Owner

Phone

(814) 629-6624

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jacqueline M Martella Single MBR Other name

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Boswell Prescription Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Boswell Prescription Center, LLC

  • Long Term Care Pharmacy
  • Boswell, PA
  • NPI 1972281681
  NPD tax ID

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1447369608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 OHIO ST",
            "address_2": "SUITE A",
            "city": "BOSWELL",
            "state": "PA",
            "postal_code": "155311245",
            "telephone_number": "814-629-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 OHIO ST",
            "address_2": "SUITE A",
            "city": "BOSWELL",
            "state": "PA",
            "postal_code": "155311245",
            "telephone_number": "814-629-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSWELL PRESCRIPTION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "MARTELLA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "814-629-6624"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3960160",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007406150002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacqueline M Martella Single MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janice Baker
• John D Bixler, PH.D
• Boswell Dental Center, Inc
• Boswell Dental Clinic
• Boswell Prescription Center, LLC
• Boswell Volunteer Fire Dept Inc
• Melissa R Eckroth, LPC
• Nathan David Lehman, CRNA
• Lori-Anne Catherine Maurer, MS

• Community/Retail Pharmacy in Boswell, PA
• Providers in Boswell, 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 Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.