Organization Active NPI

Benscreek Drug Store

  • Pharmacy
  • Johnstown, PA
National Provider Identifier
1801971718
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP410160L Issued in PA
Legal business name
BENSCREEK DRUG STORE
Practice address
133 Tire Hill Rd
Suite 140
Johnstown, PA 15905-7205
Phone
(814) 288-1800
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Mr. David T Sheridan, RPH
Title
Owner, Pharmacist
Phone
(814) 288-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP410160L PA Primary

Addresses

Primary practice location

133 Tire Hill Rd
Suite 140
Johnstown, PA 15905-7205

Mailing address

133 Tire Hill Rd
Suite 140
Johnstown, PA 15905-7205
Phone (814) 288-1800

National Provider Directory

National Provider Directory

Locations

133 Tire Hill Rd
Ste 140
Johnstown, PA 15905
Phone (814) 288-1800

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1801971718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 TIRE HILL RD",
            "address_2": "SUITE 140",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159057205",
            "telephone_number": "814-288-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 TIRE HILL RD",
            "address_2": "SUITE 140",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159057205",
            "telephone_number": "814-288-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSCREEK DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER, PHARMACIST",
        "authorized_official_telephone_number": "814-288-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP410160L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.