NPIMap

Organization Active NPI

Sam'S Club

  • Hearing Instrument Specialist
  • Muncy, PA
National Provider Identifier
1487076709
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
F03523 Issued in PA
Legal business name
SAM'S CLUB
Practice address
611 Lycoming Mall Cir
Muncy, PA 17756-1826
Phone
(570) 308-3111
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Mr. Dave Oxford
Title
General Manager
Phone
(570) 546-6699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X F03523 PA Primary

Addresses

Primary practice location

611 Lycoming Mall Cir
Muncy, PA 17756-1826

Mailing address

611 Lycoming Mall Cir
Muncy, PA 17756-1826
Phone (570) 308-3111

National Provider Directory

National Provider Directory
Tax ID family
Ability Network281 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1487076709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 LYCOMING MALL CIR",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561826",
            "telephone_number": "570-308-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 LYCOMING MALL CIR",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561826",
            "telephone_number": "570-308-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "OXFORD",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "570-546-6699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "F03523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.