The Regional Cancer Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

BR1627768 Issued in PA

Legal business name

THE REGIONAL CANCER CENTER

Practice address

2500 W 12TH St
Erie, PA 16505-4508

Phone

(814) 838-9000

NPI assigned

Aug 23, 2007

Organization subpart

Yes

Parent organization

THE REGIONAL CANCER CENTERAs reported in NPPES

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

Authorized official

Name

Kandy A Sus

Title

Cfo

Phone

(814) 838-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Regional Cancer Center3 organizations share this tax ID, including this one

Part of

Regional Cancer Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Regional Cancer Center

  • Clinical Medical Laboratory
  • Erie, PA
  • NPI 1417140450
  NPD tax ID
• The Regional Cancer Center Neo

  • Radiation Oncology Physician
  • Ashtabula, OH
  • NPI 1720046535
  NPD tax ID

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1568655504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054508",
            "telephone_number": "814-838-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054508",
            "telephone_number": "814-838-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REGIONAL CANCER CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE REGIONAL CANCER CENTER",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "SUS",
        "authorized_official_first_name": "KANDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-838-9000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "BR1627768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007470530003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Family Institute, Inc.
• The Lutheran Home for the Aged D/B/a the Village at Luther Square
• The Pennsylvania State University
• The Regional Cancer Center
• The Regional Cancer Center
• The Sarah a. Reed Retirement Center
• The Sight Center of Northwest Pennsylvania
• The Sight Center of Nwpa
• The Tamarkin Company
• The Tamarkin Company

• Community/Retail Pharmacy in Erie, PA
• Providers in Erie, 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 Aug 23, 2007; 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.