Organization Active NPI

Newtko Inc

Doing business as Port Allegany Pharmacy

  • Community/Retail Pharmacy
  • Port Allegany, PA
National Provider Identifier
1679614507
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP410685L Issued in PA
Legal business name
NEWTKO INC
Doing business as
Port Allegany Pharmacy
Practice address
54 - 56 Main Street
Port Allegany, PA 16743-0000
Phone
(814) 642-2871
Fax
(814) 642-7724
NPI assigned
Feb 12, 2007
Last updated
Nov 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
John Scott Newton, RPHNPI 1760407035
Title
Owner
Phone
(814) 642-2871

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PP410685L PA
Community/Retail Pharmacy 3336C0003X PP410685L PA Primary

Addresses

Primary practice location

54 - 56 Main Street
Port Allegany, PA 16743-0000

Mailing address

54 - 56 Main Street
Port Allegany, PA 16743-0000
Phone (814) 642-2871

Other identifiers 1

IdentifierTypeStateIssuer
1025474540001MedicaidPA

Other names 1

  • Port Allegany Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1679614507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 - 56 MAIN STREET",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167430000",
            "telephone_number": "814-642-2871",
            "fax_number": "814-642-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 - 56 MAIN STREET",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167430000",
            "telephone_number": "814-642-2871",
            "fax_number": "814-642-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTKO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-642-2871",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "PP410685L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410685L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025474540001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Allegany Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Allegany, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.