Johnstown Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP413473L Issued in PA

Legal business name

JOHNSTOWN PHARMACY INC

Doing business as

Johnstown Pharmacy

Practice address

339 Walnut St
Ste 100
Johnstown, PA 15901-1731

Phone

(814) 535-3203

Fax

(814) 539-2200

NPI assigned

Jun 11, 2006

Last updated

Feb 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brien Warshel, RPH

Title

Owner

Phone

(814) 535-3203

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• JOHNSTOWN PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1548202146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 WALNUT ST",
            "address_2": "STE 100",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011731",
            "telephone_number": "814-535-3203",
            "fax_number": "814-539-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 WALNUT ST",
            "address_2": "STE 100",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011731",
            "telephone_number": "814-535-3203",
            "fax_number": "814-539-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTOWN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "WARSHEL",
        "authorized_official_first_name": "BRIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-535-3203",
        "authorized_official_credential": "RPH"
    },
    "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": "PP413473L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001775318 PA",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087182",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHNSTOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Johnstown, PA
• Providers in Johnstown, 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 Feb 24, 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.