Organization Active NPI

Yocums Pharmacy Inc

  • Community/Retail Pharmacy
  • Hazleton, PA
National Provider Identifier
1740320282
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413634L Issued in PA
Legal business name
YOCUMS PHARMACY INC
Practice address
1749 E Broad St
Hazleton, PA 18201
Phone
(570) 454-1135
Fax
(570) 454-6097
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Mr. Harshil Patel
Title
Member
Phone
(484) 600-6666

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PP413634L PA
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP413634L PA Primary

Addresses

Primary practice location

1749 E Broad St
Hazleton, PA 18201

Mailing address

1749 E Broad St
Hazleton, PA 18201-5650
Phone (570) 454-1135

Other identifiers 2

IdentifierTypeStateIssuer
00929779MedicaidPA
3946348OtherNCPDP

National Provider Directory

National Provider Directory

Locations

1749 E Broad St
Hazleton, PA 18201
Phone (570) 454-1135

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1740320282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015650",
            "telephone_number": "570-454-1135",
            "fax_number": "570-454-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "18201",
            "telephone_number": "570-454-1135",
            "fax_number": "570-454-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOCUMS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARSHIL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "484-600-6666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "PP413634L",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413634L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00929779",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3946348",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.