Active NPI
Yocums Pharmacy Inc
- Community/Retail Pharmacy
- Hazleton, PA
National Provider Identifier
1740320282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP413634L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00929779 | Medicaid | PA | |
| 3946348 | Other | NCPDP |
National Provider Directory
National Provider DirectoryLocations
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.