NPIMap

Organization Active NPI

John R Slagle

  • Community/Retail Pharmacy
  • Clarion, PA
National Provider Identifier
1679565741
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP414620L Issued in PA
Legal business name
JOHN R SLAGLE
Practice address
100 Liberty St
Clarion, PA 16214-1808
Phone
(814) 226-9310
Fax
(814) 226-9329
NPI assigned
Aug 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
John Slagle, RPH
Title
Owner
Phone
(814) 226-9310

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP414620L PA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

100 Liberty St
Clarion, PA 16214-1808

Mailing address

100 Liberty St
Clarion, PA 16214-1808
Phone (814) 226-9310

Other identifiers 2

IdentifierTypeStateIssuer
1007724210005MedicaidPA
2122663OtherPK

Other names 1

  • The Medicine Shoppe Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100222000825 PA Part B Supplier - Mass Immunization (Roster Biller Only) 9335283837 3 other NPIs on this enrollment
Practice locations: Clarion, PA; Sheffield, PA; Tionesta, PA; Waterford, PA
O20100930095659 PA DME Supplier - Pharmacy 9335283837 Practice locations: Clarion, PA

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
John R Slagle5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1679565741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LIBERTY ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141808",
            "telephone_number": "814-226-9310",
            "fax_number": "814-226-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LIBERTY ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141808",
            "telephone_number": "814-226-9310",
            "fax_number": "814-226-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R SLAGLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SLAGLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-226-9310",
        "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": "PP414620L",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007724210005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122663",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.