NPIMap

Organization Active NPI

Prescriptions Plus of Connellsville Inc

  • Community/Retail Pharmacy
  • Connellsville, PA
National Provider Identifier
1497790612
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP415760L Issued in PA
Legal business name
PRESCRIPTIONS PLUS OF CONNELLSVILLE INC
Practice address
2618 Memorial Blvd Ste a
Connellsville, PA 15425-1419
Phone
(724) 628-7500
Fax
(724) 628-7550
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Tim Muccino
Title
Owner
Phone
(724) 628-7500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP415760L PA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2618 Memorial Blvd Ste a
Connellsville, PA 15425-1419

Mailing address

2618 Memorial Blvd Ste a
Connellsville, PA 15425-1419
Phone (724) 628-7500

Other identifiers 2

IdentifierTypeStateIssuer
2085459OtherPK
100735070001MedicaidPA

Other names 1

  • MEDMART PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medmart Pharmacy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1497790612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 MEMORIAL BLVD STE A",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251419",
            "telephone_number": "724-628-7500",
            "fax_number": "724-628-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 MEMORIAL BLVD STE A",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154251419",
            "telephone_number": "724-628-7500",
            "fax_number": "724-628-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTIONS PLUS OF CONNELLSVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "MUCCINO",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-628-7500"
    },
    "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": "PP415760L",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2085459",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100735070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDMART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.