NPIMap

Organization Active NPI

Serpento Pharmacies, Inc

Doing business as New Salem Pharmacy

  • Community/Retail Pharmacy
  • New Salem, PA
National Provider Identifier
1780785998
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411685L Issued in PA
Legal business name
SERPENTO PHARMACIES, INC
Doing business as
New Salem Pharmacy
Practice address
5 East Main Street
New Salem, PA 15468-0075
Phone
(724) 245-8414
Fax
(724) 245-6211
NPI assigned
Sep 26, 2006
Last updated
Feb 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Mr. David P. Oneil, RPH
Title
Vice President/Owner
Phone
(724) 245-8414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP411685L PA Primary

Addresses

Primary practice location

5 East Main Street
New Salem, PA 15468-0075

Mailing address

PO Box 75
New Salem, PA 15468-0075
Phone (724) 245-8414

Other identifiers 1

IdentifierTypeStateIssuer
0579311MedicaidPA

Other names 1

  • New Salem Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairchance Pharmacy2 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1780785998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "city": "NEW SALEM",
            "state": "PA",
            "postal_code": "154680075",
            "telephone_number": "724-245-8414",
            "fax_number": "724-245-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EAST MAIN STREET",
            "city": "NEW SALEM",
            "state": "PA",
            "postal_code": "154680075",
            "telephone_number": "724-245-8414",
            "fax_number": "724-245-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERPENTO PHARMACIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "ONEIL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE PRESIDENT/OWNER",
        "authorized_official_telephone_number": "724-245-8414",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411685L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0579311",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Salem Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Salem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.