Mill Run Apothecary, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481691 Issued in PA

Legal business name

MILL RUN APOTHECARY, INC

Doing business as

Mill Run Community Pharmacy

Practice address

404 North St
Meadville, PA 16335-2562

Phone

(814) 337-6600

Fax

(814) 337-6607

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John D Petruso Jr.

Title

Pharmacist

Phone

(814) 337-6600

Specialties & licenses 1

Addresses

Other names 1

• Mill Run Community Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Mattocks

  • Pharmacist
  • Meadville, PA
  • NPI 1669138962
  NPD

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780888792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 NORTH ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352562",
            "telephone_number": "814-337-6600",
            "fax_number": "814-337-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NORTH ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352562",
            "telephone_number": "814-337-6600",
            "fax_number": "814-337-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL RUN APOTHECARY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRUSO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "814-337-6600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Run Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Mercatoris PH.D. & Associates P.C.
• Michael Mercatoris, PH.D. & Assoc. P.C.
• Michael P. Walker, O.D.
• Gina Marie Michalak, PHARM.D.
• Daniel L Milam III, DO
• Alissa Marie Miller, MAT, LAT, ATC
• Colleen P Miller, PT
• Matthew James Miller, LPC
• Michael Clint Miller, PHARM D
• Rodney Wayne Miller, PT

• Community/Retail Pharmacy in Meadville, PA
• Providers in Meadville, 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.