Organization Active NPI

Aps Pharmacy Services, Inc.

  • Pharmacy
  • Pittston, PA
National Provider Identifier
1508862715
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP415505L Issued in PA
Legal business name
APS PHARMACY SERVICES, INC.
Practice address
225 Overlook Dr
Pittston, PA 18640-1058
Phone
(570) 655-1911
Fax
(570) 655-1472
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph T Degraba, RPH
Title
Pharmacy MGR/Vice President
Phone
(570) 655-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP415505L PA Primary

Addresses

Primary practice location

225 Overlook Dr
Pittston, PA 18640-1058

Mailing address

225 Overlook Dr
Pittston, PA 18640-1058
Phone (570) 655-1911

Other identifiers 2

IdentifierTypeStateIssuer
1007507920003MedicaidPA
3975527OtherPANABP

National Provider Directory

National Provider Directory
Tax ID family
Aps2 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.

Locations

225 Overlook Dr
Pittston, PA 18640
Phone (570) 655-1911

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508862715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 OVERLOOK DR",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401058",
            "telephone_number": "570-655-1911",
            "fax_number": "570-655-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 OVERLOOK DR",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401058",
            "telephone_number": "570-655-1911",
            "fax_number": "570-655-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APS PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGRABA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACY MGR/VICE PRESIDENT",
        "authorized_official_telephone_number": "570-655-1911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP415505L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007507920003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3975527",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

  • 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.