Charles F Traeger

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410097L Issued in PA

Legal business name

CHARLES F TRAEGER

Doing business as

Ayres Drug Store

Practice address

3000 Walnut St
McKeesport, PA 15132-7158

Phone

(412) 672-3000

Fax

(412) 672-8983

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

Charles Traeger, RPH

Title

Owner

Phone

(412) 672-3000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ayres Drug Store Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1972615490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WALNUT ST",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151327158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WALNUT ST",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151327158",
            "telephone_number": "412-672-3000",
            "fax_number": "412-672-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F TRAEGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "TRAEGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-672-3000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410097L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3919543",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000568505",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ayres Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Cecco
• Lisa Chambers
• Shannon Champion
• Tiffany Chapman
• Chariot McKeesport SNF Opco LLC
• Chaudhry Pulmonary Assoc PC
• Mehboob Khurram Chaudhry, M.D.
• Rahat Mahmood Chaudhry, M.D.
• Amee Chaudry, LSW
• Mayank Chawla, M.D.

• Community/Retail Pharmacy in McKeesport, PA
• Providers in McKeesport, 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 Jun 12, 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.

Verify at the official NPI Registry.