Organization Active NPI

Biancarellis Pharmacy

  • Pharmacy
  • Peckville, PA
National Provider Identifier
1720533243
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP482657 Issued in PA
Legal business name
BIANCARELLIS PHARMACY
Practice address
1318 Main St
Peckville, PA 18452-2000
Phone
(570) 382-8570
Fax
(570) 382-3478
NPI assigned
Aug 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Bruce BiancarelliNPI 1861782872
Title
R.PH.
Phone
(570) 382-8570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP482657 PA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1318 Main St
Peckville, PA 18452-2000

Mailing address

1318 Main St
Peckville, PA 18452-2000
Phone (570) 382-8570

Other identifiers 1

IdentifierTypeStateIssuer
2163909OtherPK

Other names 1

  • Biancarelli's Pharmacy, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1318 Main St
Peckville, PA 18452
Phone (570) 382-8570

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1720533243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522000",
            "telephone_number": "570-382-8570",
            "fax_number": "570-382-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 MAIN ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522000",
            "telephone_number": "570-382-8570",
            "fax_number": "570-382-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIANCARELLIS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "BIANCARELLI",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "R.PH.",
        "authorized_official_telephone_number": "570-382-8570"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482657",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biancarelli's Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peckville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.