Medicine Shoppe

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDICINE SHOPPE

Practice address

69 N Market St
Nanticoke, PA 18634-1553

Phone

(570) 735-5114

Fax

(570) 735-6624

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Tony Dougalas, RPH

Title

Owner Pharmacist

Phone

(570) 735-5114

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1962514976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 N MARKET ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 N MARKET ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341553",
            "telephone_number": "570-735-5114",
            "fax_number": "570-735-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DOUGALAS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "570-735-5114",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP412490L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3942439",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrew Eric Makos, D.C.
• Chelsea Martin, OTR/L
• Carol A Medura, CRNP
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• Brittany Michalik

• Community/Retail Pharmacy in Nanticoke, PA
• Providers in Nanticoke, 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 Mar 7, 2023; 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.