Perry Drug Store LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP411854L Issued in PA

Legal business name

PERRY DRUG STORE LLC

Practice address

301 Independence St
Perryopolis, PA 15473-5326

Phone

(724) 736-4422

Fax

(724) 736-0715

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Leonard J Pirilla, R PHNPI 1255413183

Title

Owner President

Phone

(724) 736-4422

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA3 enrollments

Enrollment records 3

Locations

Practitioners 4

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

• Leonard J Pirilla, RPH

  • Pharmacist
  • Perryopolis, PA
  • NPI 1255413183
  NPD Authorized official
• Nicholas Anthony Hawranko, PHARM.D,

  • Pharmacist
  • Perryopolis, PA
  • NPI 1275086845
  NPD
• Kaitlyn Faiola, PHARMD

  • Pharmacist
  • Perryopolis, PA
  • NPI 1649128000
  NPD (past)
• Pamela Pirilla

  • Pharmacist
  • Perryopolis, PA
  • NPI 1235265232
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1609970342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "PERRYOPOLIS",
            "state": "PA",
            "postal_code": "154730314",
            "telephone_number": "724-736-4422",
            "fax_number": "724-736-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 INDEPENDENCE ST",
            "city": "PERRYOPOLIS",
            "state": "PA",
            "postal_code": "154735326",
            "telephone_number": "724-736-4422",
            "fax_number": "724-736-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "PIRILLA",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "724-736-4422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP411854L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007112270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Lippencott
• Jennifer L Loomis, MS, CCC/SLP
• Paige Martin
• Sarah McDermott
• Chelsie Musisko
• Perry Drug Store LLC
• Perryo Medical Center, P C
• Perryo Medical Center, PC
• Perryopolis Ambulance Service
• Leonard J Pirilla, RPH

• All providers in Perryopolis, PA
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.