Central PA Pharmacy LLC.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CENTRAL PA PHARMACY LLC.

Doing business as

Patton Pharmacy and V&S Variety

Practice address

503 Railroad Ave Ste 2
Patton, PA 16668-1342

Phone

(814) 674-3693

Fax

(814) 674-5446

NPI assigned

Mar 14, 2023

Last updated

Mar 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Rae Baum

Title

Owner

Phone

(814) 242-4421

Specialties & licenses 1

Addresses

Other names 1

• Patton Pharmacy and V&S Variety Doing business as

Tax ID family

Central PA Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD tax ID

Locations

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1982305264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 RAILROAD AVE STE 2",
            "city": "PATTON",
            "state": "PA",
            "postal_code": "166681342",
            "telephone_number": "814-674-3693",
            "fax_number": "814-674-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 RAILROAD AVE STE 2",
            "city": "PATTON",
            "state": "PA",
            "postal_code": "166681342",
            "telephone_number": "814-674-3693",
            "fax_number": "814-674-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PA PHARMACY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-242-4421"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patton Pharmacy and V&S Variety",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alternative Community Resource Program, Inc.
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• Cambrian Rehabilitation Associates, P.C. (PennCare Physical Therapy)
• Central PA Pharmacy LLC. (patton pharmacy and v&s variety)
• Dustin Charles Charney, PTA
• Conemaugh Health Initiatives
• Jessica Crowell, ATC
• Lauren Ann Crowell, DPT
• James A Despoy

• Long Term Care Pharmacy in Patton, PA
• Providers in Patton, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.