Organization Active NPI

Providence Pharmacy SVC LP

Doing business as Providence Pharmacy Services LP

  • Long Term Care Pharmacy
  • Cabot, PA
National Provider Identifier
1700897378
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP481217 Issued in PA
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Richard Zabinski, RPHNPI 1669306585
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2086334OtherPK
0019280970001MedicaidPA

Other names 1

  • PROVIDENCE PHARMACY SERVICES LP Doing business as

National Provider Directory

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": "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.

Verify at the official NPI Registry.