Organization Active NPI

CCRX

  • Long Term Care Pharmacy
  • Pittston, PA
National Provider Identifier
1801078480
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP415505L Issued in PA
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

Updated by the provider on Dec 5, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3975227OtherPANCPDP
1912080656OtherPANPI

Other names 1

  • APS Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Aps2 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": "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.

Verify at the official NPI Registry.