NPIMap

Organization Active NPI

Family Pharmacy of Carbondale Inc

  • Community/Retail Pharmacy
  • Carbondale, PA
National Provider Identifier
1801326319
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482725 Issued in PA
Legal business name
FAMILY PHARMACY OF CARBONDALE INC
Doing business as
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
Last updated
Jul 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Authorized official

Name
Dennis DoughertyNPI 1386174746
Title
President
Phone
(570) 499-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP482725 PA
Community/Retail Pharmacy 3336C0003X PP482725 PA Primary
Compounding Pharmacy 3336C0004X PP482725 PA

Addresses

Primary practice location

70 N Church St
Carbondale, PA 18407-1912

Mailing address

70 N Church St
Carbondale, PA 18407-1912
Phone (570) 281-6300

Other names 1

  • Family Pharmacy of Carbondale INC Doing business as

National Provider Directory

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": "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": [],
    "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"
        }
    ]
}

Other providers in Carbondale, PA

Sources for this page

  • 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.