NPIMap

Organization Active NPI

Klingensmith Drug Inc

  • Pharmacy
  • New Bethlehem, PA
National Provider Identifier
1659544237
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
KLINGENSMITH DRUG INC
Practice address
332 Broad St
New Bethlehem, PA 16242-1004
Phone
(814) 275-3424
Fax
(814) 275-3428
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Jamie Davis
Title
3Rd Party Billing Admin
Phone
(724) 763-4028

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X PP481809 PA

Addresses

Primary practice location

332 Broad St
New Bethlehem, PA 16242-1004

Mailing address

PO Box 151
Ford City, PA 16226-0151
Phone (724) 763-1201

Other identifiers 2

IdentifierTypeStateIssuer
1007742930027MedicaidPA
2082507OtherPK

Other names 1

  • KLINGENSMITHS DRUG STORES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090911000580 PA Part B Supplier - Mass Immunization (Roster Biller Only) 5799830964 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kittanning, PA; Ford City, PA; Numine, PA; New Bethlehem, PA; Leechburg, PA
O20100930008891 PA DME Supplier - Pharmacy 5799830964 Practice locations: New Bethlehem, PA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Klingensmith Drug Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

849 E Main St
Clarion, PA 16214
Phone (724) 226-8281

849 E Main St
#3
Clarion, PA 16214
Phone (814) 393-0000

313 Ford St
#1
Ford City, PA 16226
Phone (724) 763-1201

316 1st Ave
Ste 100
Kittanning, PA 16201
Phone (724) 548-5500

200 Market St
Kittanning, PA 16201
Phone (724) 543-3400

200 Market St
#6
Kittanning, PA 16201
Phone (724) 543-3400

332 Broad St
#9
New Bethlehem, PA 16242
Phone (814) 275-3424

332 Broad St
New Bethlehem, PA 16242
Phone (814) 275-3424

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": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1659544237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162260151",
            "telephone_number": "724-763-1201",
            "fax_number": "724-763-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 BROAD ST",
            "city": "NEW BETHLEHEM",
            "state": "PA",
            "postal_code": "162421004",
            "telephone_number": "814-275-3424",
            "fax_number": "814-275-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLINGENSMITH DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "3RD PARTY BILLING ADMIN",
        "authorized_official_telephone_number": "724-763-4028"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007742930027",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2082507",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KLINGENSMITHS DRUG STORES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KLINGENSMITHS DRUG STORES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.