Organization Active NPI

Buchanan Brothers Pharmacy Inc

  • Pharmacy
  • Coudersport, PA
National Provider Identifier
1801878673
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP412324L Issued in PA
Legal business name
BUCHANAN BROTHERS PHARMACY INC
Practice address
101 N Main St
Coudersport, PA 16915-1621
Phone
(814) 274-8660
Fax
(814) 274-8984
NPI assigned
Nov 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mr. Joseph N Marzo, RPH
Title
President
Phone
(814) 274-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP412324L PA Primary

Addresses

Primary practice location

101 N Main St
Coudersport, PA 16915-1621

Mailing address

101 N Main St
Coudersport, PA 16915-1621
Phone (814) 274-8660

Other identifiers 1

IdentifierTypeStateIssuer
1007732690003MedicaidPA

National Provider Directory

National Provider Directory

Locations

101 N Main St
Coudersport, PA 16915
Phone (814) 274-8660

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1801878673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169151621",
            "telephone_number": "814-274-8660",
            "fax_number": "814-274-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169151621",
            "telephone_number": "814-274-8660",
            "fax_number": "814-274-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCHANAN BROTHERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "MARZO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-274-8660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP412324L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007732690003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coudersport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.