Bontral, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP415257L Issued in PA

Legal business name

BONTRAL, INC.

Practice address

16395 Route 8
Union City, PA 16438-1501

Phone

(814) 438-7570

Fax

(814) 438-2229

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Richard Reichert, R.PH.NPI 1104413434

Title

Owner/Manager

Phone

(814) 438-7570

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Union City Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Richard Reichert, BS RPH

  • Pharmacist
  • Union City, PA
  • NPI 1104413434
  NPD Authorized official
• Timothy John Patton Sr., RPH

  • Pharmacist
  • Union City, PA
  • NPI 1093934085
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1760596159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16395 ROUTE 8",
            "city": "UNION CITY",
            "state": "PA",
            "postal_code": "164381501",
            "telephone_number": "814-438-7570",
            "fax_number": "814-438-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16395 ROUTE 8",
            "city": "UNION CITY",
            "state": "PA",
            "postal_code": "164381501",
            "telephone_number": "814-438-7570",
            "fax_number": "814-438-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONTRAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "REICHERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "814-438-7570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415257L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016225980002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3972545",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alan James Tomczak
• Rogelio Manalo Allanigue, M.D.
• Grace Ann Barto
• Bloomfield Township VFD
• Corry Memorial Hospital Association
• Daren Allen LCSW LLC
• Harriet Elizabeth Davis, CRNP
• Cynthia S Denial, LPN
• Margaret Christine Douglass, RN

• Community/Retail Pharmacy in Union City, PA
• Providers in Union City, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.