Organization Active NPI

PD Darby Inc

Doing business as Public Drug of Darby

  • Community/Retail Pharmacy
  • Darby, PA
National Provider Identifier
1770680613
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP410423L Issued in PA
Legal business name
PD DARBY INC
Doing business as
Public Drug of Darby
Practice address
913 Main St
Darby, PA 19023-1631
Phone
(610) 586-9600
Fax
(610) 586-3253
NPI assigned
Sep 20, 2006
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Paul Dibona, RPH
Title
President
Phone
(610) 586-9600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PP410423L PA Primary

Addresses

Primary practice location

913 Main St
Darby, PA 19023-1631

Mailing address

913 Main St
Darby, PA 19023-1631
Phone (610) 586-9600

Other identifiers 2

IdentifierTypeStateIssuer
000964590MedicaidPA
2084461OtherPK

Other names 1

  • PUBLIC DRUG OF DARBY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Paul V Dibona2 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

913 Main St
Darby, PA 19023
Phone (484) 497-8558

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1770680613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 MAIN ST",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231631",
            "telephone_number": "610-586-9600",
            "fax_number": "610-586-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 MAIN ST",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231631",
            "telephone_number": "610-586-9600",
            "fax_number": "610-586-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PD DARBY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "DIBONA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-586-9600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410423L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000964590",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUBLIC DRUG OF DARBY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.