Active NPI
Nazareth Pharmacy Inc
- Pharmacy
- Nazareth, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PP411674L
- Legal business name
- NAZARETH PHARMACY INC
- Practice address
- 19 S Broad St
Nazareth, PA 18064-2116 - Phone
- (610) 759-3240
- Fax
- (610) 746-0946
- NPI assigned
- Feb 9, 2007
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Kavanagh
- Title
- Pres
- Phone
- (610) 759-3240
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PP411674L | PA | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
19 S Broad St
Nazareth, PA 18064-2116
Mailing address
19 S Broad St
Nazareth, PA 18064-2116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005835840002 | Medicaid | PA | |
| 3906293 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Nazareth Medical Equipment
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Nazareth Medical Equipment
- Community/Retail Pharmacy
- Nazareth, PA
- NPI 1356443642
Locations
19 S Broad St
Nazareth, PA 18064
Phone (610) 759-3240
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Nazareth, PA
- NPI 1417087891
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": "1757548800000",
"number": "1619018082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 S BROAD ST",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180642116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 S BROAD ST",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180642116",
"telephone_number": "610-759-3240",
"fax_number": "610-746-0946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAZARETH PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KAVANAGH",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "610-759-3240"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP411674L",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005835840002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3906293",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Nazareth, 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.