Organization Active NPI

Penn Beaver Pharmacy Inc

  • Community/Retail Pharmacy
  • Rochester, PA
National Provider Identifier
1609891498
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PENN BEAVER PHARMACY INC
Doing business as
MEDICINE SHOPPE
Practice address
734 Ohio River Blvd
Rochester Plaza
Rochester, PA 15074-1413
Phone
(724) 728-7455
Fax
(724) 728-3717
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dena Ferman, RPH
Title
Third Party Plan Coordinator
Phone
(314) 993-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP413982L PA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

734 Ohio River Blvd
Rochester Plaza
Rochester, PA 15074-1413

Mailing address

734 Ohio River Blvd
Rochester Plaza
Rochester, PA 15074-1413

Other identifiers 1

IdentifierTypeStateIssuer
3954725OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

734 Ohio River Blvd
Rochester, PA 15074
Phone (724) 728-7455

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609891498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 OHIO RIVER BLVD",
            "address_2": "ROCHESTER PLAZA",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 OHIO RIVER BLVD",
            "address_2": "ROCHESTER PLAZA",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741413",
            "telephone_number": "724-728-7455",
            "fax_number": "724-728-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN BEAVER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FERMAN",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "THIRD PARTY PLAN COORDINATOR",
        "authorized_official_telephone_number": "314-993-6000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413982L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3954725",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.