Family Pharmacy of Archbald Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP414382L Issued in PA

Legal business name

FAMILY PHARMACY OF ARCHBALD INC

Doing business as

FAMILY PHARMACY OF ARCHBALD

Practice address

4 Kelly St
Kennedy PLZ 1
Archbald, PA 18403-1627

Phone

(570) 876-3312

Fax

(570) 876-4251

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dennis Dougherty, RPH

Title

President

Phone

(570) 848-1845

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FAMILY PHARMACY OF ARCHBALD Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Sandra Lee Albright, RPH

  • Pharmacist
  • Archbald, PA
  • NPI 1679813174
  NPD (past)
• Charlene Yablonsky, PHARM.D., R.PH

  • Pharmacist
  • Archbald, PA
  • NPI 1881920510
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1669561213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 KELLY ST",
            "address_2": "KENNEDY PLZ 1",
            "city": "ARCHBALD",
            "state": "PA",
            "postal_code": "184031627",
            "telephone_number": "570-876-3312",
            "fax_number": "570-876-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 KELLY ST",
            "address_2": "KENNEDY PLZ 1",
            "city": "ARCHBALD",
            "state": "PA",
            "postal_code": "184031627",
            "telephone_number": "570-876-3312",
            "fax_number": "570-876-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY OF ARCHBALD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-848-1845",
        "authorized_official_credential": "RPH"
    },
    "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": "PP414382L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2079923",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01500684",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY OF ARCHBALD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony A Decarli III, DMD
• Dr Mary Grace Rizzo-Fryzel Dental Group PLLC
• Dr. Chelsea Mancuso LLC
• Lucille Edsell, M.S. ,NCC, LPC
• Edward M Erris, D.C.
• Matthew Joseph Fedor, LSW
• Marissa Anne Hibbard, LPC
• Korren Hicks, LAPC
• Jerome P. Casey DPM PC
• Justine Beneski Counseling LLC

• Community/Retail Pharmacy in Archbald, PA
• Providers in Archbald, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.