Organization Active NPI

Alberts Pharmacy Inc

  • Community/Retail Pharmacy
  • Pittston, PA
National Provider Identifier
1659650018
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482169 Issued in PA
Legal business name
ALBERTS PHARMACY INC
Doing business as
Alberts Pharmacy Inc.
Practice address
201 S Main St Ste 2
Pittston, PA 18640-1621
Phone
(570) 299-5150
Fax
(570) 299-5155
NPI assigned
Aug 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Joseph AlbertNPI 1497916118
Title
Owner/President
Phone
(570) 299-5150

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP482169 PA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

201 S Main St Ste 2
Pittston, PA 18640-1621

Mailing address

201 S Main St
Ste 2
Pittston, PA 18640-1621
Phone (570) 299-5150

Other identifiers 2

IdentifierTypeStateIssuer
1026125700001MedicaidPA
2131412OtherPK

Other names 1

  • Alberts Pharmacy Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20120806000764 PA DME Supplier - Pharmacy 5496901530 Practice locations: Pittston, PA
O20121018000167 PA Part B Supplier - Mass Immunization (Roster Biller Only) 5496901530 Practice locations: Pittston, PA
O20220906001961 PA Part B Supplier - Pharmacy 5496901530 Practice locations: Carbondale, PA; Pittston, PA

National Provider Directory

National Provider Directory
Tax ID family
Alberts Pharmacy Inc2 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.

Locations

201 S Main St
#2
Pittston, PA 18640
Phone (570) 299-5150

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1659650018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "address_2": "STE 2",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401621",
            "telephone_number": "570-299-5150",
            "fax_number": "570-299-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST STE 2",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401621",
            "telephone_number": "570-299-5150",
            "fax_number": "570-299-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "570-299-5150"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482169",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026125700001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131412",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alberts Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.