Organization Active NPI

Family Owned Pharmacies of PA LLC

  • Community/Retail Pharmacy
  • MC Donald, PA
National Provider Identifier
1992860316
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411524L Issued in PA
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

Updated by the provider on May 6, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1030111720001MedicaidPA
2080451OtherPK
1007755400001MedicaidPA

Other names 1

  • MCDONALD PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Owned Pharmacies of PA 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.

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.

Verify at the official NPI Registry.