Organization Active NPI

Hyde Drug, L.L.C.

  • Long Term Care Pharmacy
  • New Castle, PA
National Provider Identifier
1851076129
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HYDE DRUG, L.L.C.
Practice address
2412 Wilmington Rd Ste B
New Castle, PA 16105-1939
Phone
(724) 652-1451
Fax
(724) 657-0592
NPI assigned
Jun 15, 2023
Organization subpart
Yes
Parent organization
HYDE DRUG, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Dr. Spero Stefanis, PHARMDNPI 1194295428
Title
Vice President
Phone
(724) 652-1451

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2412 Wilmington Rd Ste B
New Castle, PA 16105-1939

Mailing address

2412 Wilmington Rd Ste B
New Castle, PA 16105-1939
Phone (724) 652-1451

Other identifiers 1

IdentifierTypeStateIssuer
101031050004MedicaidPA

Other names 1

  • Hyde Drug LTC Other name

National Provider Directory

National Provider Directory
Part of
Hyde Drug LLC

Locations

2412 Wilmington Rd
Ste B
New Castle, PA 16105
Phone (724) 652-1451

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1851076129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 WILMINGTON RD STE B",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051939",
            "telephone_number": "724-652-1451",
            "fax_number": "724-657-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 WILMINGTON RD STE B",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051939",
            "telephone_number": "724-652-1451",
            "fax_number": "724-657-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE DRUG, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HYDE DRUG, L.L.C.",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "STEFANIS",
        "authorized_official_first_name": "SPERO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "724-652-1451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101031050004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyde Drug LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.