Organization Active NPI

Tops Markets LLC

  • Community/Retail Pharmacy
  • Warren, PA
National Provider Identifier
1992252514
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412534L Issued in PA
Legal business name
TOPS MARKETS LLC
Practice address
74 Market St
Warren, PA 16365-2508
Phone
(814) 723-4450
Fax
(855) 263-0226
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Matt Hamed
Title
Director of Pharmacy
Phone
(716) 635-5274

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP412534L PA Primary

Addresses

Primary practice location

74 Market St
Warren, PA 16365-2508

Mailing address

P.O. Box 1027
Buffalo, NY 14240
Phone (716) 635-5276

Other identifiers 1

IdentifierTypeStateIssuer
2163898OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160811001421 PA DME Supplier - PharmacyDME Supplier - Grocery Store 8628189875 1 other NPI on this enrollment
Practice locations: Warren, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tops Pharmacy #60374 Market St, Warren, PA 16365-2508(814) 723-4450 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jun 3, 1995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1992252514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1027",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14240",
            "telephone_number": "716-635-5276",
            "fax_number": "716-635-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MARKET ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652508",
            "telephone_number": "814-723-4450",
            "fax_number": "855-263-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPS MARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "HAMED",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "716-635-5274"
    },
    "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": "PP412534L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163898",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.