Active NPI
Clarion Development Corporation
Doing business as new bethlehem pharmacy
- Community/Retail Pharmacy
- New Bethlehem, PA
National Provider Identifier
1922023886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP412054L
- Legal business name
- CLARION DEVELOPMENT CORPORATION
- Doing business as
- new bethlehem pharmacy
- Practice address
- 332 Broad St
New Bethlehem, PA 16242 - Phone
- (814) 275-2211
- Fax
- (814) 275-1977
- NPI assigned
- Jul 13, 2006
- Last updated
- Jun 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Slagle, R.PH.
- Title
- Business Agent
- Phone
- (814) 226-5353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP412054L | PA | Primary |
Addresses
Primary practice location
332 Broad St
New Bethlehem, PA 16242
Mailing address
332 Broad St
New Bethlehem, PA 16242
Phone (814) 275-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007277670001 | Medicaid | PA |
Other names 1
- new bethlehem pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Clarion Development Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba marienville pharmacy
- Community/Retail Pharmacy
- Marienville, PA
- NPI 1417044173
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba marienville pharmacy
- Community/Retail Pharmacy
- Marienville, PA
- NPI 1417044173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1922023886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 BROAD ST",
"city": "NEW BETHLEHEM",
"state": "PA",
"postal_code": "16242",
"telephone_number": "814-275-2211",
"fax_number": "814-275-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 BROAD ST",
"city": "NEW BETHLEHEM",
"state": "PA",
"postal_code": "16242",
"telephone_number": "814-275-2211",
"fax_number": "814-275-1977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARION DEVELOPMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "SLAGLE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "BUSINESS AGENT",
"authorized_official_telephone_number": "814-226-5353",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP412054L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007277670001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "new bethlehem pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.