Sanatoga Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482691 Issued in PA

Legal business name

SANATOGA PHARMACY INC

Practice address

1630 E High St BLDG 2
Pottstown, PA 19464-3244

Phone

(484) 949-8505

Fax

(484) 949-8893

NPI assigned

Sep 9, 2016

Organization subpart

No

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

Authorized official

Name

Nicolas Tini, PHARMDNPI 1982882148

Title

Owner/Pharmacy Manager

Phone

(215) 983-7377

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Sanatoga Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Nicolas Tini

  • Pharmacist
  • Pottstown, PA
  • NPI 1982882148
  NPD Authorized official
• Phillip David Sebrell, PHARMD

  • Pharmacist
  • Stowe, PA
  • NPI 1154640738
  NPD

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1922555697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E HIGH ST BLDG 2",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643244",
            "telephone_number": "484-949-8505",
            "fax_number": "484-949-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E HIGH ST BLDG 2",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643244",
            "telephone_number": "484-949-8505",
            "fax_number": "484-949-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANATOGA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "TINI",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "OWNER/PHARMACY MANAGER",
        "authorized_official_telephone_number": "215-983-7377",
        "authorized_official_credential": "PHARMD"
    },
    "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": "PP482691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164085",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032216520001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanatoga Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanatoga Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Salom, LMFT
• Jeffrey B Sameroff, D.M.D.
• Scott R Samuelson, DPM
• Sanatoga Ophthalmology Associates, Inc.
• Sanatoga Optical
• Myra Evelyn Sanchez
• Randy Lynn Sandler, PHD, LPC
• Jocelyn Adriana Sandoval
• Bobbie Jean Sanguinetti
• Robert Louis Sansone, DDS

• Community/Retail Pharmacy in Pottstown, PA
• Providers in Pottstown, 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 Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.