NPIMap

Organization Active NPI

RXD Pharmacy of PA Inc

Doing business as RXD of Minersville

  • Community/Retail Pharmacy
  • Minersville, PA
National Provider Identifier
1760525422
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412391L Issued in PA
Legal business name
RXD PHARMACY OF PA INC
Doing business as
RXD of Minersville
Practice address
245 Sunbury St
Minersville, PA 17954
Phone
(570) 544-4758
Fax
(570) 544-3308
NPI assigned
Feb 14, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
RXD PHARMACY OF PA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Robert S Milner
Title
Chairman
Phone
(856) 577-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP412391L PA Primary

Addresses

Primary practice location

245 Sunbury St
Minersville, PA 17954

Mailing address

PO Box 428
Collingswood, NJ 08108
Phone (856) 858-9292

Other identifiers 3

IdentifierTypeStateIssuer
0007841990001MedicaidPA
PP412391LOtherPASTATE LICENSE
3942148OtherPANCPDP

Other names 1

  • RXD of Minersville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RXD Pharmacy of PA Inc5 organizations share this tax ID, including this one
Part of
RXD Pharmacy of PA Inc

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1760525422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "08108",
            "telephone_number": "856-858-9292",
            "fax_number": "856-858-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 SUNBURY ST",
            "city": "MINERSVILLE",
            "state": "PA",
            "postal_code": "17954",
            "telephone_number": "570-544-4758",
            "fax_number": "570-544-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXD PHARMACY OF PA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RXD PHARMACY OF PA INC",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "856-577-4577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412391L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007841990001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PP412391L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3942148",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RXD of Minersville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.