Active NPI
PD Darby Inc
Doing business as Public Drug of Darby
- Community/Retail Pharmacy
- Darby, PA
National Provider Identifier
1770680613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP410423L
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000964590 | Medicaid | PA | |
| 2084461 | Other | PK |
Other names 1
- PUBLIC DRUG OF DARBY
National Provider Directory
National Provider Directory- Tax ID family
- Paul V Dibona
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.