Organization Active NPI

Park Avenue Pharmacy, Inc

  • Long Term Care Pharmacy
  • Chambersburg, PA
National Provider Identifier
1508549734
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PARK AVENUE PHARMACY, INC
Practice address
220 Park Ave
Chambersburg, PA 17201-1230
Phone
(717) 264-7312
Fax
(717) 264-3751
NPI assigned
Aug 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Dawn L Naugle
Title
Book Keeper
Phone
(717) 264-6652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

220 Park Ave
Chambersburg, PA 17201-1230

Mailing address

220 Park Ave
Chambersburg, PA 17201-1230
Phone (717) 264-7312

Other names 1

  • LTC Park Avenue Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Park Avenue Pharmacy Inc2 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.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1508549734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PARK AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011230",
            "telephone_number": "717-264-7312",
            "fax_number": "717-264-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PARK AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011230",
            "telephone_number": "717-264-7312",
            "fax_number": "717-264-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "NAUGLE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BOOK KEEPER",
        "authorized_official_telephone_number": "717-264-6652"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LTC Park Avenue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.