Active NPI
Family Owned Pharmacies of PA LLC
- Community/Retail Pharmacy
- MC Donald, PA
National Provider Identifier
1992860316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP411524L
- Legal business name
- FAMILY OWNED PHARMACIES OF PA LLC
- Practice address
- 303 W Barr St
MC Donald, PA 15057-1423 - Phone
- (724) 926-2117
- Fax
- (724) 926-8129
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Dimpel
- Title
- Pic
- Phone
- (724) 926-2117
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP411524L | PA | Primary |
Addresses
Primary practice location
303 W Barr St
MC Donald, PA 15057-1423
Mailing address
303 W Barr St
MC Donald, PA 15057-1423
Phone (724) 926-2117
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030111720001 | Medicaid | PA | |
| 2080451 | Other | PK | |
| 1007755400001 | Medicaid | PA |
Other names 1
- MCDONALD PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Family Owned Pharmacies of PA LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- MC Donald, PA
- NPI 1033738471
Locations
303 W Barr St
Mc Donald, PA 15057
Phone (724) 926-2117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620259200000",
"number": "1992860316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 W BARR ST",
"city": "MC DONALD",
"state": "PA",
"postal_code": "150571423",
"telephone_number": "724-926-2117",
"fax_number": "724-926-8129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 W BARR ST",
"city": "MC DONALD",
"state": "PA",
"postal_code": "150571423",
"telephone_number": "724-926-2117",
"fax_number": "724-926-8129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY OWNED PHARMACIES OF PA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A",
"authorized_official_last_name": "DIMPEL",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "724-926-2117"
},
"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": "PP411524L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030111720001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2080451",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007755400001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MCDONALD PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MCDONALD PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in MC Donald, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.