Active NPI
Westmont Drug Store
- Community/Retail Pharmacy
- Johnstown, PA
National Provider Identifier
1700996543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WESTMONT DRUG STORE
- Practice address
- 1741 Goucher St
Johnstown, PA 15905 - Phone
- (814) 255-4101
- Fax
- (814) 255-6015
- NPI assigned
- Aug 30, 2006
- 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
- Mr. Michael Charles Gnagey Sr., RPH
- Title
- Pharmacist/Partner
- Phone
- (814) 255-4101
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PP413024C | PA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1741 Goucher St
Johnstown, PA 15905
Mailing address
1741 Goucher St
Johnstown, PA 15905
Phone (814) 255-4101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3913438 | Other | NABP | |
| 1030744210001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
1741 Goucher St
Johnstown, PA 15905
Phone (814) 255-4101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1700996543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 GOUCHER ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "15905",
"telephone_number": "814-255-4101",
"fax_number": "814-255-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 GOUCHER ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "15905",
"telephone_number": "814-255-4101",
"fax_number": "814-255-6015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTMONT DRUG STORE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "GNAGEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PHARMACIST/PARTNER",
"authorized_official_telephone_number": "814-255-4101",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "PA",
"license": "PP413024C",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "3913438",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030744210001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
- Western Pennsylvania Dental Group (Chestnut Hills Dental Johnstown Upper Yoder)
- Western Pennsylvania Dental Group (Chestnut Hills Dental Johnstown Richland)
- Western Pennsylvania Orthopedic and Sports Medicine, Inc.
- Western Pennsylvania Orthopedics and Sports Medicine, Inc.
- Western Pennsylvania Sports Medicine & Rehabilitation Center, Inc.
- Westmont Family Counseling Ministries
- Westmont Hilltop School District
- Westmont Woods, LP
- Wheelchairs and More, Corp.
- Catherine White, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.