Tuzze's Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411919L Issued in PA

Legal business name

TUZZE'S PHARMACY

Practice address

509 Poplar St
Mayfield, PA 18433-1800

Phone

(570) 876-0740

Fax

(570) 876-3946

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ellen P Kelly, RPHNPI 1851439996

Title

RPH-Owner

Phone

(570) 876-0740

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ellen P Kelly, RPH

  • Pharmacist
  • Mayfield, PA
  • NPI 1851439996
  NPD (past) Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780701912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 POPLAR ST",
            "city": "MAYFIELD",
            "state": "PA",
            "postal_code": "184331800",
            "telephone_number": "570-876-0740",
            "fax_number": "570-876-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 POPLAR ST",
            "city": "MAYFIELD",
            "state": "PA",
            "postal_code": "184331800",
            "telephone_number": "570-876-0740",
            "fax_number": "570-876-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUZZE'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "RPH-OWNER",
        "authorized_official_telephone_number": "570-876-0740",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411919L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008734770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Mayfield, PA
• Providers in Mayfield, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.