Interdependent Holdings Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411513L Issued in PA

Legal business name

INTERDEPENDENT HOLDINGS INC

Doing business as

McCabe Drug

Practice address

229 Main St
Brookville, PA 15825-1235

Phone

(814) 849-7300

Fax

(814) 849-0074

NPI assigned

Sep 9, 2005

Last updated

Dec 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Francis Straub, RPH

Title

Sec/Cfo

Phone

(814) 781-3192

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MCCABE DRUG Doing business as

Locations

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1831183474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 MAIN ST",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251235",
            "telephone_number": "814-849-7300",
            "fax_number": "814-849-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 MAIN ST",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251235",
            "telephone_number": "814-849-7300",
            "fax_number": "814-849-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERDEPENDENT HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "STRAUB",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "SEC/CFO",
        "authorized_official_telephone_number": "814-781-3192",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411513L",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1242857",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3962708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCABE DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Julie L Johnson, COTA/L

• Community/Retail Pharmacy in Brookville, PA
• Providers in Brookville, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.