Organization Active NPI

Wogan Enterprises Inc

Doing business as Wogans Drug Store

  • Community/Retail Pharmacy
  • Littlestown, PA
National Provider Identifier
1558350116
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411812L Issued in PA
Legal business name
WOGAN ENTERPRISES INC
Doing business as
Wogans Drug Store
Practice address
410 N Queen St
Littlestown, PA 17340-1224
Phone
(717) 359-5280
Fax
(717) 359-7428
NPI assigned
Oct 17, 2005
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Robert Killoran, RPH
Title
Pharmacy Manager
Phone
(717) 359-5280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP411812L PA Primary

Addresses

Primary practice location

410 N Queen St
Littlestown, PA 17340-1224

Mailing address

410 N Queen St
Littlestown, PA 17340-1224
Phone (717) 359-5280

Other identifiers 2

IdentifierTypeStateIssuer
3948126OtherNCPDP PROVIDER IDENTIFICATION NUMBER
19107818901MedicaidPA

Other names 1

  • WOGANS DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Locations

410 N Queen St
Littlestown, PA 17340
Phone (717) 359-5280

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1558350116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N QUEEN ST",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173401224",
            "telephone_number": "717-359-5280",
            "fax_number": "717-359-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N QUEEN ST",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173401224",
            "telephone_number": "717-359-5280",
            "fax_number": "717-359-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOGAN ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "KILLORAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "717-359-5280",
        "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": "PP411812L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3948126",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19107818901",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOGANS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littlestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.