Family Pharmacy of Jessup Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481064 Issued in PA

Legal business name

FAMILY PHARMACY OF JESSUP INC

Practice address

128 Constitution Ave
Jessup, PA 18434-1218

Phone

(570) 383-7311

Fax

(570) 383-7399

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dennis Dougherty, RPH

Title

President

Phone

(570) 499-1900

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FAMILY PHARMACY OF JESSUP INC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Solomon, RPH

  • Pharmacist
  • Jessup, PA
  • NPI 1760818348
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1487743035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CONSTITUTION AVE",
            "city": "JESSUP",
            "state": "PA",
            "postal_code": "184341218",
            "telephone_number": "570-383-7311",
            "fax_number": "570-383-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CONSTITUTION AVE",
            "city": "JESSUP",
            "state": "PA",
            "postal_code": "184341218",
            "telephone_number": "570-383-7311",
            "fax_number": "570-383-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY OF JESSUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-499-1900",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01863724",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3979638",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY OF JESSUP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Marie Biancarelli, MD
• Christine Brunetti, M.A., N.C.C., L.P.C
• Devin Budd
• Collura Wellness Center P.C.
• Francis Richard Collura, D.C.
• Sarah Ferraro
• Jessica Ann Ferretti, LSW
• Kimberly Foat
• Megan Eileen Gallik, MT-BC
• Geisinger Clinic

• Community/Retail Pharmacy in Jessup, PA
• Providers in Jessup, 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 Sep 12, 2012; 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.