Active NPI
Providence Pharmacy SVC LP
Doing business as Providence Pharmacy Services LP
- Long Term Care Pharmacy
- Cabot, PA
National Provider Identifier
1700897378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PP481217
- Legal business name
- PROVIDENCE PHARMACY SVC LP
- Doing business as
- Providence Pharmacy Services LP
- Practice address
- 615 N Pike Rd
Cabot, PA 16023-2215 - Phone
- (724) 352-8822
- Fax
- (724) 352-8866
- NPI assigned
- Aug 10, 2006
- Last updated
- Mar 22, 2017
- 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
- Richard Zabinski, RPH
- Title
- Director of Pharmacy
- Phone
- (724) 352-8822
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | PP481217 | PA | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
615 N Pike Rd
Cabot, PA 16023-2215
Mailing address
615 N Pike Rd
Cabot, PA 16023-2215
Phone (724) 352-8822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2086334 | Other | PK | |
| 0019280970001 | Medicaid | PA |
Other names 1
- PROVIDENCE PHARMACY SERVICES LP
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Cabot, PA
- NPI 1669306585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490140800000",
"number": "1700897378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N PIKE RD",
"city": "CABOT",
"state": "PA",
"postal_code": "160232215",
"telephone_number": "724-352-8822",
"fax_number": "724-352-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N PIKE RD",
"city": "CABOT",
"state": "PA",
"postal_code": "160232215",
"telephone_number": "724-352-8822",
"fax_number": "724-352-8866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE PHARMACY SVC LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2017-03-22",
"status": "A",
"authorized_official_last_name": "ZABINSKI",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "724-352-8822",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"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": "PA",
"license": "PP481217",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2086334",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019280970001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PROVIDENCE PHARMACY SERVICES LP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cabot, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.