Organization Active NPI

PPM Inc

Doing business as Norvelt Pharmacy

  • Community/Retail Pharmacy
  • Norvelt, PA
National Provider Identifier
1942308598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411708L Issued in PA
Legal business name
PPM INC
Doing business as
Norvelt Pharmacy
Practice address
2310 Mt. Pleasant Road
Norvelt, PA 15674
Phone
(724) 423-4100
Fax
(724) 424-8082
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter Joseph MaidaNPI 1841397262
Title
President Pharmacist in Charge
Phone
(724) 423-4100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP411708L PA Primary

Addresses

Primary practice location

2310 Mt. Pleasant Road
Norvelt, PA 15674

Mailing address

PO Box 391
Norvelt, PA 15674-0391
Phone (724) 423-4100

Other identifiers 2

IdentifierTypeStateIssuer
3912979OtherPANABP#
0005848590001MedicaidPA

Other names 1

  • Norvelt Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1598054400000",
    "number": "1942308598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391",
            "city": "NORVELT",
            "state": "PA",
            "postal_code": "156740391",
            "telephone_number": "724-423-4100",
            "fax_number": "724-424-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 MT. PLEASANT ROAD",
            "city": "NORVELT",
            "state": "PA",
            "postal_code": "15674",
            "telephone_number": "724-423-4100",
            "fax_number": "724-424-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAIDA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "724-423-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411708L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "3912979",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005848590001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norvelt Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norvelt, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.