Active NPI
Med-Fast Pharmacy Inc
- Community/Retail Pharmacy
- Aliquippa, PA
National Provider Identifier
1497774533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MED-FAST PHARMACY INC
- Practice address
- 2007 Sheffield Rd
Aliquippa, PA 15001-2758 - Phone
- (724) 375-1672
- Fax
- (724) 375-2272
- NPI assigned
- Jul 19, 2006
- 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
- Lisa Brosky
- Title
- Billing Manager
- Phone
- (724) 378-5325
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PP481444 | PA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2007 Sheffield Rd
Aliquippa, PA 15001-2758
Mailing address
2007 Sheffield Rd
Aliquippa, PA 15001-2758
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007458630041 | Medicaid | PA | |
| 3984108 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- MED-FAST PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294876800000",
"number": "1497774533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 SHEFFIELD RD",
"city": "ALIQUIPPA",
"state": "PA",
"postal_code": "150012758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 SHEFFIELD RD",
"city": "ALIQUIPPA",
"state": "PA",
"postal_code": "150012758",
"telephone_number": "724-375-1672",
"fax_number": "724-375-2272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-FAST PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2011-01-13",
"status": "A",
"authorized_official_last_name": "BROSKY",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "724-378-5325"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP481444",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007458630041",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3984108",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MED-FAST PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aliquippa, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.