Organization Active NPI

Savage Family Pharmacy Inc

  • Pharmacy
  • Waynesboro, PA
National Provider Identifier
1821177510
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP411603L Issued in PA
Legal business name
SAVAGE FAMILY PHARMACY INC
Practice address
604 East Main Street
Waynesboro, PA 17268
Phone
(717) 762-2915
Fax
(717) 762-2357
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Mr. Rodger William Savage, RPHNPI 1811277676
Title
Owner
Phone
(717) 762-2915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP411603L PA Primary

Addresses

Primary practice location

604 East Main Street
Waynesboro, PA 17268

Mailing address

604 East Main Street
Waynesboro, PA 17268
Phone (717) 762-2915

Other identifiers 1

IdentifierTypeStateIssuer
0007042870002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111026000065 PA Part B Supplier - Mass Immunization (Roster Biller Only) 1254459050 Practice locations: Waynesboro, PA

National Provider Directory

National Provider Directory

Locations

604 E Main St
Waynesboro, PA 17268
Phone (717) 762-2915

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1821177510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 EAST MAIN STREET",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "17268",
            "telephone_number": "717-762-2915",
            "fax_number": "717-762-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 EAST MAIN STREET",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "17268",
            "telephone_number": "717-762-2915",
            "fax_number": "717-762-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVAGE FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "RODGER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-762-2915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP411603L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007042870002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.