Organization Active NPI

Hartzells Pharmacy Inc

  • Community/Retail Pharmacy
  • Catasauqua, PA
National Provider Identifier
1770582397
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP410987L Issued in PA
Legal business name
HARTZELLS PHARMACY INC
Doing business as
HARTZELLS PHARMACY INC
Practice address
300 American St
Catasauqua, PA 18032-1800
Phone
(610) 264-5471
Fax
(610) 264-3048
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Vincent Anthony Hartzell, PHARMD
Title
President
Phone
(610) 264-5471

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP410987L PA Primary

Addresses

Primary practice location

300 American St
Catasauqua, PA 18032-1800

Mailing address

300 American St
Catasauqua, PA 18032-1800
Phone (610) 264-5471

Other identifiers 2

IdentifierTypeStateIssuer
2078692OtherPK
0005900410002MedicaidPA

Other names 1

  • HARTZELLS PHARMACY INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070118000171 PA Part B Supplier - Mass Immunization (Roster Biller Only) 9638178098 Practice locations: Catasauqua, PA

National Provider Directory

National Provider Directory

Locations

300 American St
Catasauqua, PA 18032
Phone (610) 264-5471

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1770582397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AMERICAN ST",
            "city": "CATASAUQUA",
            "state": "PA",
            "postal_code": "180321800",
            "telephone_number": "610-264-5471",
            "fax_number": "610-264-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AMERICAN ST",
            "city": "CATASAUQUA",
            "state": "PA",
            "postal_code": "180321800",
            "telephone_number": "610-264-5471",
            "fax_number": "610-264-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTZELLS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "HARTZELL",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-264-5471",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410987L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2078692",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005900410002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARTZELLS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HARTZELLS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Catasauqua, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.