Organization Active NPI

Stewarts Drug Store

  • Community/Retail Pharmacy
  • Punxsutawney, PA
National Provider Identifier
1609917731
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412408L Issued in PA
Legal business name
STEWARTS DRUG STORE
Practice address
219 W Mahoning St
Punxsutawney, PA 15767-1918
Phone
(814) 938-8570
Fax
(814) 938-4644
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bradley James Gigliotti, RPHNPI 1528109659
Title
Owner
Phone
(814) 938-8570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP412408L PA Primary

Addresses

Primary practice location

219 W Mahoning St
Punxsutawney, PA 15767-1918

Mailing address

219 W Mahoning St
Punxsutawney, PA 15767-1918
Phone (814) 938-8570

Other identifiers 1

IdentifierTypeStateIssuer
0005643280002MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609917731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W MAHONING ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671918",
            "telephone_number": "814-938-8570",
            "fax_number": "814-938-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W MAHONING ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671918",
            "telephone_number": "814-938-8570",
            "fax_number": "814-938-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARTS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIGLIOTTI",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-938-8570",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412408L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005643280002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.