Family Pharmacy of Carbondale Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482725 Issued in PA

Legal business name

FAMILY PHARMACY OF CARBONDALE INC

Practice address

70 N Church St
Carbondale, PA 18407-1912

Phone

(570) 281-6300

Fax

(570) 281-6301

NPI assigned

Jun 16, 2017

Organization subpart

No

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

Authorized official

Name

Dennis Dougherty

Title

President

Phone

(570) 499-1900

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Family Pharmacy of Carbondale INC Doing business as

Locations

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

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1801326319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 N CHURCH ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071912",
            "telephone_number": "570-281-6300",
            "fax_number": "570-281-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N CHURCH ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071912",
            "telephone_number": "570-281-6300",
            "fax_number": "570-281-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY OF CARBONDALE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-16",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-499-1900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482725",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482725",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "PA",
            "license": "PP482725",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169881",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy of Carbondale INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Pharmacy of Carbondale INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany Evans
• Mark Evans, RN
• Everlong Pharmacy, L.L.P.
• Jill Fabri, MS, RD, LDN
• Laura Falonk, CRNA
• Lauren Leigh Farber, MS OTR/L
• Timothy John Farley, M.D.
• Alan S Fierverker, MD
• Corey Ann Frankowski, OTR
• Elese Frazier

• Community/Retail Pharmacy in Carbondale, PA
• Providers in Carbondale, 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 Jul 11, 2017; 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.