Forest Hills Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP413736L Issued in PA

Legal business name

FOREST HILLS PHARMACY INC

Practice address

552 Locust St
Saint Michael, PA 15951-0306

Phone

(814) 495-9437

Fax

(814) 495-9848

NPI assigned

Jul 13, 2005

Organization subpart

No

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

Authorized official

Name

Ronald Lattanzio, RPHNPI 1619008984

Title

VP

Phone

(814) 495-9437

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Forest Hills Pharmacy Inc

  • Long Term Care Pharmacy
  • Saint Michael, PA
  • NPI 1891794665

  4789743220

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald J Lattanzio Sr., RPH

  • Pharmacist
  • Saint Michael, PA
  • NPI 1619008984
  NPD Authorized official

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1891793808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "SAINT MICHAEL",
            "state": "PA",
            "postal_code": "159510306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 LOCUST ST",
            "city": "SAINT MICHAEL",
            "state": "PA",
            "postal_code": "159510306",
            "telephone_number": "814-495-9437",
            "fax_number": "814-495-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "LATTANZIO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "814-495-9437",
        "authorized_official_credential": "RPH"
    },
    "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": "PP413736L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007284790002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023117",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3949091",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forest Hills Area Ambulance Association
• Forest Hills Pharmacy Inc
• Chris R Good, RPH
• Lori Huber, RPH.
• Ronald J Lattanzio Sr., RPH
• Morris Stern, RPH

• Community/Retail Pharmacy in Saint Michael, PA
• Providers in Saint Michael, 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 Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.