Complete Pharmacy Services

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP-414190-L Issued in PA

Legal business name

COMPLETE PHARMACY SERVICES

Practice address

141 Salem Ave
Carbondale, PA 18407-2574

Phone

(570) 281-1083

Fax

(570) 281-1244

NPI assigned

Oct 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Angelo Corradino

Title

Manger

Phone

(570) 281-1083

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497744643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SALEM AVE",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072574",
            "telephone_number": "570-281-1083",
            "fax_number": "570-281-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SALEM AVE",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072574",
            "telephone_number": "570-281-1083",
            "fax_number": "570-281-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORRADINO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "570-281-1083",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP-414190-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011636820001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Carbondale, PA
• Providers in Carbondale, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.