Organization Active NPI

Plumbs Drug Store Co

  • Community/Retail Pharmacy
  • Bellefonte, PA
National Provider Identifier
1740348630
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411884L Issued in PA
Legal business name
PLUMBS DRUG STORE CO
Doing business as
PLUMBS DRUG STORE
Practice address
105 N Allegheny St
Bellefonte, PA 16823-1626
Phone
(814) 355-3225
Fax
(814) 355-8547
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
John Luckovich, BSNPI 1619045036
Title
Owner
Phone
(814) 355-3225

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
Community/Retail Pharmacy 3336C0003X PP411884L PA Primary

Addresses

Primary practice location

105 N Allegheny St
Bellefonte, PA 16823-1626

Mailing address

105 N Allegheny St
Bellefonte, PA 16823-1626
Phone (814) 355-3225

Other identifiers 1

IdentifierTypeStateIssuer
2138470OtherPK

Other names 1

  • PLUMBS DRUG STORE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Plumbs Drug Store2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1740348630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N ALLEGHENY ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231626",
            "telephone_number": "814-355-3225",
            "fax_number": "814-355-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N ALLEGHENY ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231626",
            "telephone_number": "814-355-3225",
            "fax_number": "814-355-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUMBS DRUG STORE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "LUCKOVICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-355-3225",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411884L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138470",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLUMBS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellefonte, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.