Organization Active NPI

HMD Inc

  • Community/Retail Pharmacy
  • Beaver, PA
National Provider Identifier
1972641967
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481683 Issued in PA
Legal business name
HMD INC
Practice address
601 3Rd St
Beaver, PA 15009-2115
Phone
(724) 774-0919
Fax
(724) 774-5070
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Adrienne Cervone, PHARM DNPI 1558543645
Title
President
Phone
(724) 774-0919

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP481683 PA Primary

Addresses

Primary practice location

601 3Rd St
Beaver, PA 15009-2115

Mailing address

601 3Rd St
Beaver, PA 15009-2115
Phone (724) 774-0919

Other identifiers 2

IdentifierTypeStateIssuer
2081763OtherPK
1018634040001MedicaidPA

Other names 1

  • BEAVER HEALTHMART PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

533 3rd St
Beaver, PA 15009
Phone (724) 774-0919

601 3rd St
Beaver, PA 15009
Phone (724) 774-0919

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1972641967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092115",
            "telephone_number": "724-774-0919",
            "fax_number": "724-774-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092115",
            "telephone_number": "724-774-0919",
            "fax_number": "724-774-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "CERVONE",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-774-0919",
        "authorized_official_credential": "PHARM D"
    },
    "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": "PP481683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081763",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018634040001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEAVER HEALTHMART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.