Organization Active NPI

Med-Fast Pharmacy Inc

Doing business as Med-Fast Pharmacy

  • Community/Retail Pharmacy
  • Greensburg, PA
National Provider Identifier
1770777971
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481092 Issued in PA
Legal business name
MED-FAST PHARMACY INC
Doing business as
Med-Fast Pharmacy
Practice address
RT 136 and Janyce Dr
Greensburg, PA 15601
Phone
(724) 850-8501
Fax
(724) 850-8510
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Douglas L Kaleugher
Title
President
Phone
(724) 378-5325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP481092 PA Primary

Addresses

Primary practice location

RT 136 and Janyce Dr
Greensburg, PA 15601

Mailing address

2003 Sheffield Rd
Aliquippa, PA 15001-2758

Other identifiers 1

IdentifierTypeStateIssuer
3989057OtherOTHER ID NUMBER

Other names 1

  • MED-FAST PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Med-Fast Pharmacy Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1770777971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 SHEFFIELD RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150012758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 136 AND JANYCE DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-850-8501",
            "fax_number": "724-850-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-FAST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "KALEUGHER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-378-5325"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3989057",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED-FAST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.