Organization Active NPI

Wyble's Pharmacy, Inc.

Doing business as Wybles Pharmacy

  • Community/Retail Pharmacy
  • Apollo, PA
National Provider Identifier
1861599706
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412950L Issued in PA
Legal business name
WYBLE'S PHARMACY, INC.
Doing business as
Wybles Pharmacy
Practice address
200 N Warren Ave
Apollo, PA 15613-1339
Phone
(724) 478-4051
Fax
(724) 478-1814
NPI assigned
Sep 20, 2006
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Antonio Difilippo, RPHNPI 1083886121
Title
Owner
Phone
(724) 478-4051

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PP412950L PA Primary

Addresses

Primary practice location

200 N Warren Ave
Apollo, PA 15613-1339

Mailing address

200 N Warren Ave
Apollo, PA 15613-1339
Phone (724) 478-4051

Other identifiers 2

IdentifierTypeStateIssuer
2084247OtherPK
000929474MedicaidPA

Other names 1

  • WYBLES PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

200 N Warren Ave
Apollo, PA 15613
Phone (724) 478-4051

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1861599706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N WARREN AVE",
            "city": "APOLLO",
            "state": "PA",
            "postal_code": "156131339",
            "telephone_number": "724-478-4051",
            "fax_number": "724-478-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N WARREN AVE",
            "city": "APOLLO",
            "state": "PA",
            "postal_code": "156131339",
            "telephone_number": "724-478-4051",
            "fax_number": "724-478-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYBLE'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "DIFILIPPO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-478-4051",
        "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": "PP412950L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084247",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000929474",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYBLES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apollo, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.