Individual provider Active NPI

Stephen Ray Babyak

  • Community/Retail Pharmacy
  • Greensburg, PA
National Provider Identifier
1831674159
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP452817 Issued in PA
Practice address
685 N Main St
Greensburg, PA 15601-1600
Phone
(724) 837-4164
NPI assigned
Oct 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RP452817 PA Primary

Addresses

Primary practice location

685 N Main St
Greensburg, PA 15601-1600

Mailing address

511 Kiski Avenue Ext
Apollo, PA 15613-8016
Phone (724) 980-2678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RP452817PAMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Pennsylvania LLC Community/Retail Pharmacy Past Accepting new patients
Rite Aid of Pennsylvania LLC Community/Retail Pharmacy Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1831674159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 KISKI AVENUE EXT",
            "city": "APOLLO",
            "state": "PA",
            "postal_code": "156138016",
            "telephone_number": "724-980-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 N MAIN ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156011600",
            "telephone_number": "724-837-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABYAK",
        "first_name": "STEPHEN",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "RP452817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.