Hyde Drug, L.L.C.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411112L Issued in PA

Legal business name

HYDE DRUG, L.L.C.

Doing business as

Hyde Drug Store

Practice address

2412 Wilmington Rd
New Castle, PA 16105-1939

Phone

(724) 652-1451

Fax

(724) 657-0159

NPI assigned

Aug 31, 2006

Last updated

Mar 6, 2020By 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

George StefanisNPI 1891053732

Title

President/Chief Pharmacist

Phone

(724) 652-1451

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hyde Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Hyde Drug, L.L.C.

  • Long Term Care Pharmacy
  • New Castle, PA
  • NPI 1851076129
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Stefanis, R.PH.

  • Pharmacist
  • New Castle, PA
  • NPI 1891053732
  NPD Authorized official
• Jillian Bowker, PHARM.D

  • Pharmacist
  • New Castle, PA
  • NPI 1740750082
  NPD
• Gabriella Ann Colucci

  • Pharmacy Technician
  • New Castle, PA
  • NPI 1215600051
  NPD
• Spero Stefanis, PHARM.D

  • Pharmacist
  • New Castle, PA
  • NPI 1194295428
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1548371602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051939",
            "telephone_number": "724-652-1451",
            "fax_number": "724-657-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051939",
            "telephone_number": "724-652-1451",
            "fax_number": "724-657-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE DRUG, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "STEFANIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF PHARMACIST",
        "authorized_official_telephone_number": "724-652-1451"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411112L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010310500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyde Drug Store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hyde Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Human Services Center
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• Human Services Center
• Raven Ann Hunt, DPT
• David J Hunter, LCSW
• Hyde Drug, L.L.C.
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• Internal Medicine Associates of Lawrence County
• Internal Medicine Associates of Lawrence County, P.C.
• Intrinsic Inc

• Community/Retail Pharmacy in New Castle, PA
• Providers in New Castle, 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 Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.