Organization Active NPI

Peerless Medical Inc

Doing business as Drug 123

  • Mail Order Pharmacy
  • Milford, PA
National Provider Identifier
1649539578
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
PEERLESS MEDICAL INC
Doing business as
Drug 123
Practice address
10 Buist Rd Ste 305
Milford, PA 18337-9311
Phone
(570) 409-6003
Fax
(570) 409-6063
NPI assigned
May 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Shlonda Williams
Title
Coo/Pic
Phone
(570) 409-6003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

10 Buist Rd Ste 305
Milford, PA 18337-9311

Mailing address

10 Buist Rd
Suite 305
Milford, PA 18337-9311
Phone (570) 409-6003

Other identifiers 1

IdentifierTypeStateIssuer
2135222OtherPK

Other names 1

  • Drug 123 Doing business as

National Provider Directory

National Provider Directory

Locations

10 Buist Rd
Ste 305
Milford, PA 18337
Phone (570) 409-6003

NPI Registry JSON

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

{
    "created_epoch": "1336867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1649539578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BUIST RD",
            "address_2": "SUITE 305",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379311",
            "telephone_number": "570-409-6003",
            "fax_number": "570-409-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BUIST RD STE 305",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379311",
            "telephone_number": "570-409-6003",
            "fax_number": "570-409-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEERLESS MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-13",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHLONDA",
        "authorized_official_title_or_position": "COO/PIC",
        "authorized_official_telephone_number": "570-409-6003"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135222",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drug 123",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.