NPIMap

Organization Active NPI

Mikes Apothecary Inc

  • Community/Retail Pharmacy
  • New Castle, PA
National Provider Identifier
1992920805
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP410825L Issued in PA
Legal business name
MIKES APOTHECARY INC
Practice address
708 E Washington St
New Castle, PA 16101-4137
Phone
(724) 658-4557
Fax
(724) 658-4547
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Mr. Michael V Fornataro, RPHNPI 1295873750
Title
Owner Pharmacist
Phone
(724) 658-4557

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP410825L PA Primary

Addresses

Primary practice location

708 E Washington St
New Castle, PA 16101-4137

Mailing address

708 E Washington St
New Castle, PA 16101-4137
Phone (724) 658-4557

Other identifiers 1

IdentifierTypeStateIssuer
1022164700001MedicaidPA

Other names 1

  • EAST SIDE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

708 E Washington St
New Castle, PA 16101
Phone (724) 658-4557

708 E Washington St
Side
New Castle, PA 16101
Phone (724) 658-4557

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1992920805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E WASHINGTON ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014137",
            "telephone_number": "724-658-4557",
            "fax_number": "724-658-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E WASHINGTON ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014137",
            "telephone_number": "724-658-4557",
            "fax_number": "724-658-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKES APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "FORNATARO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "724-658-4557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410825L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022164700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST SIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.