Active NPI
Buchanan Brothers Pharmacy Inc
- Pharmacy
- Coudersport, PA
National Provider Identifier
1801878673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PP412324L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007732690003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Coudersport, PA
- NPI 1770185167
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.