Brown & Gobin Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP415422L Issued in PA

Legal business name

BROWN & GOBIN INCORPORATED

Practice address

1204 North St
MCT Plaza
Jim Thorpe, PA 18229-1726

Phone

(570) 325-5020

Fax

(570) 325-5028

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Bryan GobinNPI 1760584684

Title

Treasurer

Phone

(717) 486-8606

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MAUCH CHUNK PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Bryan R Gobin, RPH

  • Pharmacist
  • Mount Holly Springs, PA
  • NPI 1760584684
  NPD Authorized official
• Ann Marie Paluck, RPH

  • Pharmacist
  • Jim Thorpe, PA
  • NPI 1124615117
  NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1689744765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 NORTH ST",
            "address_2": "MCT PLAZA",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182291726",
            "telephone_number": "570-325-5020",
            "fax_number": "570-325-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 NORTH ST",
            "address_2": "MCT PLAZA",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182291726",
            "telephone_number": "570-325-5020",
            "fax_number": "570-325-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN & GOBIN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "GOBIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "717-486-8606"
    },
    "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": "PP415422L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2083885",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017097890001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAUCH CHUNK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith Scott Blackwell
• Lisa Bleicher, DC
• Kailey Boger
• Dylan Bradley
• Aillinn Brennan, L.P.C.
• Gina Marie Busocker
• Vanessa Cameron, D.O.
• Megan Cargulia, PT, DPT
• Tracy Carroll, RPH
• Community Pharmacy Inc

• Community/Retail Pharmacy in Jim Thorpe, PA
• Providers in Jim Thorpe, 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 Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.