Chicora Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410827L Issued in PA

Legal business name

CHICORA PHARMACY, LLC

Practice address

100 W Slippery Rock St
Chicora, PA 16025

Phone

(724) 445-2210

Fax

(724) 445-2683

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Louis Scerbo, R.PH.

Title

Owner

Phone

(724) 445-2210

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1831224252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W. SLIPPERY ROCK ST",
            "city": "CHICORA",
            "state": "PA",
            "postal_code": "16025",
            "telephone_number": "724-445-2210",
            "fax_number": "724-445-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SLIPPERY ROCK ST",
            "city": "CHICORA",
            "state": "PA",
            "postal_code": "16025",
            "telephone_number": "724-445-2210",
            "fax_number": "724-445-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICORA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "SCERBO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-445-2210",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410827L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012406000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Butler PT, LLC
• Jeffrey Scott Campbell, RPH
• Chicora Dental Care, LLC
• Chicora Independent Hose Company
• Chicora Medical Center, Limited Partnership
• Christopher R Rugaber OD LLC
• Ethan Conto, DMD
• Deann Lynn Craig, RDH
• Alanna Teach Crow, CPS
• Domenick Defrancisis, DDS

• Community/Retail Pharmacy in Chicora, PA
• Providers in Chicora, 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 Oct 27, 2017; 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.