Organization Active NPI

Dixons Pharmacy Inc

  • Community/Retail Pharmacy
  • Biglerville, PA
National Provider Identifier
1740388776
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413295L Issued in PA
Legal business name
DIXONS PHARMACY INC
Practice address
3463 Biglerville Rd
Biglerville, PA 17307-9809
Phone
(717) 677-8144
Fax
(717) 677-9694
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Bryan Gobin, RPH
Title
Treasurer
Phone
(717) 486-8606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP413295L PA Primary

Addresses

Primary practice location

3463 Biglerville Rd
Biglerville, PA 17307-9809

Mailing address

3463 Biglerville Rd
PO Box 481
Biglerville, PA 17307-9809
Phone (717) 677-8144

Other identifiers 2

IdentifierTypeStateIssuer
2083994OtherPK
01653100MedicaidPA

Other names 1

  • ADAMS CUMBERLAND PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930040706 PA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 8628199304 Practice locations: Biglerville, PA
O20251110003506 PA Part B Supplier - Mass Immunization (Roster Biller Only) 8628199304 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carlisle, PA; Biglerville, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dixons Pharmacy Inc3463 Biglerville Rd, Biglerville, PA 17307-9809(717) 677-8144 Immunosuppressive Drugs|Nebulizer Drugs Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Adams Cumberland Pharmacy2 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.

Locations

3463 Biglerville Rd
Biglerville, PA 17307
Phone (717) 677-8144

Practitioners & affiliated clinicians

Practitioners 4

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1740388776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 BIGLERVILLE RD",
            "address_2": "PO BOX 481",
            "city": "BIGLERVILLE",
            "state": "PA",
            "postal_code": "173079809",
            "telephone_number": "717-677-8144",
            "fax_number": "717-677-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 BIGLERVILLE RD",
            "city": "BIGLERVILLE",
            "state": "PA",
            "postal_code": "173079809",
            "telephone_number": "717-677-8144",
            "fax_number": "717-677-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXONS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "GOBIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "717-486-8606",
        "authorized_official_credential": "RPH"
    },
    "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": "PP413295L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2083994",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01653100",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADAMS CUMBERLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Biglerville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.