Organization Active NPI

Joel & June Caldwell Inc

  • Community/Retail Pharmacy
  • Emporium, PA
National Provider Identifier
1740334549
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481481 Issued in PA
Legal business name
JOEL & JUNE CALDWELL INC
Doing business as
EMPORIUM PHARMACY
Practice address
105 4TH St
Emporium, PA 15834
Phone
(814) 486-1110
Fax
(814) 486-1188
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
June Caldwell, RPH
Title
Pharm MGR and Sec of Corp
Phone
(814) 486-1110

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP481481 PA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

105 4TH St
Emporium, PA 15834

Mailing address

105 4TH St
Emporium, PA 15834
Phone (814) 486-1110

Other identifiers 2

IdentifierTypeStateIssuer
3985023OtherNCPDP PROVIDER IDENTIFICATION NUMBER
101471226001MedicaidPA

Other names 1

  • EMPORIUM PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

105 E 4th St
Emporium, PA 15834
Phone (814) 486-1110

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1740334549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 4TH ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "15834",
            "telephone_number": "814-486-1110",
            "fax_number": "814-486-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 4TH ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "15834",
            "telephone_number": "814-486-1110",
            "fax_number": "814-486-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL & JUNE CALDWELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "PHARM MGR AND SEC OF CORP",
        "authorized_official_telephone_number": "814-486-1110",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical 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": "PA",
            "license": "PP481481",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3985023",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101471226001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMPORIUM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emporium, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.