Moshannon Valley Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP413567L Issued in PA

Legal business name

MOSHANNON VALLEY PHARMACY INC

Practice address

208 Medical Center Dr
Philipsburg, PA 16866-1948

Phone

(814) 342-5200

Fax

(814) 342-6749

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Robert Branstetter

Title

Manager of Pharmacies

Phone

(814) 342-5200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MOSHANNON VALLEY PHARMACY Doing business as

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1508886433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 WASHINGTON AVENUE",
            "address_2": "PO BOX 529",
            "city": "HYDE",
            "state": "PA",
            "postal_code": "168430529",
            "telephone_number": "814-765-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MEDICAL CENTER DR",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661948",
            "telephone_number": "814-342-5200",
            "fax_number": "814-342-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHANNON VALLEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "BRANSTETTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER OF PHARMACIES",
        "authorized_official_telephone_number": "814-342-5200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413567L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3928770",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007479930001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOSHANNON VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Akinola Mobolaji, MSN, APRN, PMHNP-BC
• Denise Michelle Moore, LPC
• Hannah Morgan, PHARMD
• Moshannon Valley EMS
• Moshannon Valley Pharmacy Inc
• Moshannon Valley Pharmacy Inc
• James Moslak
• Mount Nittany Medical Center
• Sarah Mowery
• Noel Frances Murphy, PTA

• Community/Retail Pharmacy in Philipsburg, PA
• Providers in Philipsburg, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.