Part II Partners LP

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP415443L Issued in PA

Legal business name

PART II PARTNERS LP

Doing business as

Marketplace Pharmacy

Practice address

1121 Park Ave
Meadville, PA 16335-3107

Phone

(814) 333-1910

Fax

(814) 333-6673

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Laura Rogers, RPH

Title

Pharmacy Manager

Phone

(814) 333-1910

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MARKETPLACE PHARMACY Doing business as

Tax ID family

Marketplace Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sandys European Market

  • Pharmacist
  • Meadville, PA
  • NPI 1750592283
  NPD tax ID

Locations

Practitioners 3

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

• Ronald Regis Kline, R.PH.

  • Pharmacist
  • Meadville, PA
  • NPI 1922112788
  NPD (past)
• John Dominic Petruso Jr., RPH

  • Pharmacist
  • Meadville, PA
  • NPI 1790831915
  NPD (past)
• Laura Rogers-Wilson, RPH

  • Pharmacist
  • Meadville, PA
  • NPI 1407910409
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1639205040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353107",
            "telephone_number": "814-333-1910",
            "fax_number": "814-333-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PART II PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "814-333-1910",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP415443L",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01715042",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3975034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARKETPLACE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Park Avenue Rehabilitation & Healthcare Center LLC
• Malia Renee Park, RN
• Emma Lizabeth Parker, PHARMD, RPH
• Morgan Sotera Parker
• Parkside Psychological Associates
• Gary E Pasqualicchio, DO
• Gurleen Pasricha, M.D.
• Abigail Passilla, LAPC
• Nitin Arvind Patel, MD
• Ryan Patton, LPC

• Pharmacy in Meadville, PA
• Providers in Meadville, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.