Active NPI
CCRX
- Long Term Care Pharmacy
- Pittston, PA
National Provider Identifier
1801078480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PP415505L
- Legal business name
- CCRX
- Practice address
- 225 Overlook Dr
Pittston, PA 18640-1058 - Phone
- (157) 065-5191
- NPI assigned
- Dec 5, 2007
- 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
- Dr. Sajal Kumar Roy, PHARMD
- Title
- Director of Pharmacy
- Phone
- (570) 655-1911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | PP415505L | PA | Primary |
Addresses
Primary practice location
225 Overlook Dr
Pittston, PA 18640-1058
Mailing address
225 Overlook Dr
Pittston, PA 18640-1058
Phone (157) 065-5191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3975227 | Other | PA | NCPDP |
| 1912080656 | Other | PA | NPI |
Other names 1
- APS
National Provider Directory
National Provider Directory- Tax ID family
- Aps
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Pittston, PA
- NPI 1508862715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196812800000",
"number": "1801078480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 OVERLOOK DR",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186401058",
"telephone_number": "157-065-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 OVERLOOK DR",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186401058",
"telephone_number": "157-065-5191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCRX",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2007-12-05",
"status": "A",
"authorized_official_last_name": "ROY",
"authorized_official_first_name": "SAJAL",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "570-655-1911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "PA",
"license": "PP415505L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3975227",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1912080656",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "APS",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.