Active NPI
Target
- Community/Behavioral Health Agency
- Wyomissing, PA
National Provider Identifier
1669814422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- RP038381L
- Legal business name
- TARGET
- Practice address
- 2769 Papermill Rd
Wyomissing, PA 19610-3329 - Phone
- (610) 374-9942
- NPI assigned
- Jul 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Min Kim
- Title
- Pharmacist
- Phone
- (267) 664-1175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | RP038381L | PA | Primary |
Addresses
Primary practice location
2769 Papermill Rd
Wyomissing, PA 19610-3329
Mailing address
2769 Papermill Rd
Wyomissing, PA 19610-3329
Phone (610) 374-9942
National Provider Directory
National Provider Directory- Tax ID family
- Indian Health Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Acute Care Hospital
- Eagle Butte, SD
- NPI 1003045345
-
- Pharmacist
- Sudbury, MA
- NPI 1437566825
-
- Skilled Nursing Facility
- Idlewylde, MD
- NPI 1881063154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374451200000",
"number": "1669814422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2769 PAPERMILL RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103329",
"telephone_number": "610-374-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2769 PAPERMILL RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103329",
"telephone_number": "610-374-9942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARGET",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-22",
"last_updated": "2013-07-22",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "MIN",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "267-664-1175"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "RP038381L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.