NPIMap

Organization Active NPI

Klingensmith Drug Inc

Doing business as Klingensmith's Drug Stores #7

  • Long Term Care Pharmacy
  • Numine, PA
National Provider Identifier
1700452158
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KLINGENSMITH DRUG INC
Doing business as
Klingensmith's Drug Stores #7
Practice address
4075 Third Street
Numine, PA 16244-0172
Phone
(724) 783-7341
Fax
(724) 783-7510
NPI assigned
May 27, 2021
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Jamie Davis
Title
Lead Tech/3Rd Party Billing Admin
Phone
(724) 763-4028

Specialties & licenses 2

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

Addresses

Primary practice location

4075 Third Street
Numine, PA 16244-0172

Mailing address

PO Box 151
Ford City, PA 16226-0151
Phone (724) 763-4028

Other identifiers 3

IdentifierTypeStateIssuer
0946270006OtherPAMEDICAR
1007742930026MedicaidPA
PP-411244LOtherPASTATE BOARD OF PHARMACY

Other names 1

  • KLINGENSMITH'S DRUG STORES #7 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Klingensmith Drug Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1700452158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162260151",
            "telephone_number": "724-763-4028",
            "fax_number": "724-763-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 THIRD STREET",
            "city": "NUMINE",
            "state": "PA",
            "postal_code": "162440172",
            "telephone_number": "724-783-7341",
            "fax_number": "724-783-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLINGENSMITH DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2023-03-07",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "LEAD TECH/3RD PARTY BILLING ADMIN",
        "authorized_official_telephone_number": "724-763-4028"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAR",
            "identifier": "0946270006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007742930026",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "PP-411244L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KLINGENSMITH'S DRUG STORES #7",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KLINGENSMITH'S DRUG STORES #7",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Numine, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.