Organization Active NPI

Memaw Inc

Doing business as Beaver Falls Health Mart Pharmacy

  • Community/Retail Pharmacy
  • Beaver Falls, PA
National Provider Identifier
1760728414
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482333 Issued in PA
Legal business name
MEMAW INC
Doing business as
Beaver Falls Health Mart Pharmacy
Practice address
1314 7TH Ave
Beaver Falls, PA 15010-4217
Phone
(724) 384-0766
Fax
(724) 581-4809
NPI assigned
Dec 28, 2012
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Eric Davis
Title
Owner
Phone
(412) 298-3360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482333 PA Primary

Addresses

Primary practice location

1314 7TH Ave
Beaver Falls, PA 15010-4217

Mailing address

1314 7TH Ave
Beaver Falls, PA 15010-4217
Phone (724) 384-0766

Other identifiers 1

IdentifierTypeStateIssuer
PP482333OtherPAPHARMACY LICENSE

Other names 1

  • Beaver Falls Health Mart Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250630000917 PA DME Supplier - Pharmacy 8123439734 Practice locations: Beaver Falls, PA

Other NPIs with the same Medicare PAC ID 3

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

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
Memaw Inc1314 7TH Ave, Beaver Falls, PA 15010-4217(724) 384-0766 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Oct 15, 2020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1760728414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 7TH AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104217",
            "telephone_number": "724-384-0766",
            "fax_number": "724-581-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 7TH AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104217",
            "telephone_number": "724-384-0766",
            "fax_number": "724-581-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMAW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-298-3360"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PP482333",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaver Falls Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beaver Falls Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver Falls, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.