Organization Active NPI

Big Spring Pharmacy Inc

  • Community/Retail Pharmacy
  • Newville, PA
National Provider Identifier
1861660474
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481806 Issued in PA
Legal business name
BIG SPRING PHARMACY INC
Practice address
91 S High St
Newville, PA 17241-1405
Phone
(717) 776-0288
Fax
(717) 776-4362
NPI assigned
Feb 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Bryan Gobin
Title
Treasurer
Phone
(717) 486-8606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP481806 PA Primary

Addresses

Primary practice location

91 S High St
Newville, PA 17241-1405

Mailing address

91 S High St
Newville, PA 17241-1405
Phone (717) 776-0288

Other identifiers 2

IdentifierTypeStateIssuer
1023933200001MedicaidPA
2082487OtherPK

Other names 1

  • BIG SPRING PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

91 S High St
Newville, PA 17241
Phone (717) 776-0288

NPI Registry JSON

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1861660474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 S HIGH ST",
            "city": "NEWVILLE",
            "state": "PA",
            "postal_code": "172411405",
            "telephone_number": "717-776-0288",
            "fax_number": "717-776-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 S HIGH ST",
            "city": "NEWVILLE",
            "state": "PA",
            "postal_code": "172411405",
            "telephone_number": "717-776-0288",
            "fax_number": "717-776-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SPRING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-16",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "GOBIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "717-486-8606"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023933200001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2082487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIG SPRING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.