Everlong Pharmacy, L.L.P.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP415529L Issued in PA

Legal business name

EVERLONG PHARMACY, L.L.P.

Doing business as

Medicine Shoppe

Practice address

99 N Church St
Carbondale, PA 18407-2148

Phone

(570) 281-6141

Fax

(570) 281-3903

NPI assigned

Sep 27, 2006

Last updated

Mar 7, 2023By 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

Mrs. Dina Banas, RPH

Title

Owner

Phone

(570) 281-6141

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Doing business as

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1598856411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N CHURCH ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072148",
            "telephone_number": "570-281-6141",
            "fax_number": "570-281-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N CHURCH ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072148",
            "telephone_number": "570-281-6141",
            "fax_number": "570-281-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLONG PHARMACY, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BANAS",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-281-6141",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415529L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3975755",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017548550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felicia Elizabeth Dzielak
• Catherine B Erickson, PHARMD
• Ashley Ettinger, MS, LBS
• Bethany Evans
• Mark Evans, RN
• Jill Fabri, MS, RD, LDN
• Laura Falonk, CRNA
• Family Pharmacy of Carbondale Inc
• Lauren Leigh Farber, MS OTR/L
• Timothy John Farley, M.D.

• Community/Retail Pharmacy in Carbondale, PA
• Providers in Carbondale, 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 7, 2023; 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.