Yankeetown Golden Spike

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

PP482660 Issued in PA

Legal business name

YANKEETOWN GOLDEN SPIKE

Doing business as

Yankeetown Apothecary

Practice address

60 Yankeetown Ave
Homer City, PA 15748-1011

Phone

(724) 471-7471

Fax

(724) 471-0262

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Timothy Kunkle, BS, MS, PHARMD

Title

Manager

Phone

(724) 471-7471

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Yankeetown Apothecary Doing business as

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1528413804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 YANKEETOWN AVE",
            "city": "HOMER CITY",
            "state": "PA",
            "postal_code": "157481011",
            "telephone_number": "724-471-7471",
            "fax_number": "724-471-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 YANKEETOWN AVE",
            "city": "HOMER CITY",
            "state": "PA",
            "postal_code": "157481011",
            "telephone_number": "724-471-7471",
            "fax_number": "724-471-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANKEETOWN GOLDEN SPIKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "KUNKLE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "724-471-7471",
        "authorized_official_credential": "BS, MS, PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "PA",
            "license": "PP482660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103133765",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160615",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yankeetown Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin M Strezo, DDS
• Therapy Solutions of Western Pennsylvania LLC
• Tom Bennett Trunzo, PTA
• Kelly Elizabeth Webb, LBS
• Western Pennsylvania Dental Group (Chestnut Hills Dental Homer City)

• Mail Order Pharmacy in Homer City, PA
• Providers in Homer City, PA by specialty
• Mail Order Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.