Organization Active NPI

Buchanan Brothers Pharmacy Inc

  • Pharmacy
  • Smethport, PA
National Provider Identifier
1821070699
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP411521L Issued in PA
Legal business name
BUCHANAN BROTHERS PHARMACY INC
Practice address
313 Main St
Smethport, PA 16749
Phone
(814) 887-5375
Fax
(814) 887-5393
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 Jr., RPH
Title
President
Phone
(814) 274-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP411521L PA Primary

Addresses

Primary practice location

313 Main St
Smethport, PA 16749

Mailing address

313 Main St
Smethport, PA 16749
Phone (814) 887-5375

Other identifiers 1

IdentifierTypeStateIssuer
100773267001MedicaidPA

National Provider Directory

National Provider Directory

Locations

313 W Main St
Smethport, PA 16749
Phone (814) 887-5375

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": "1821070699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MAIN ST",
            "city": "SMETHPORT",
            "state": "PA",
            "postal_code": "16749",
            "telephone_number": "814-887-5375",
            "fax_number": "814-887-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAIN ST",
            "city": "SMETHPORT",
            "state": "PA",
            "postal_code": "16749",
            "telephone_number": "814-887-5375",
            "fax_number": "814-887-5393"
        }
    ],
    "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_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP411521L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773267001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smethport, 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.