MILL STREET PHARMACY INC (NPI# 1235201039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235201039 |
| Entity Type | Organization |
| Organization Name | MILL STREET PHARMACY INC |
| Other Organization Name | MILL STREET PHARMACY |
| Practice Address |
416 Mill St Bristol PA 19007-4813 |
| Practice Telephone | 2157888879 |
| Practice Fax Number | 2157888890 |
| Mailing Telephone | 2157888879 |
| Mailing Fax Number | 2157888890 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2017-04-25 |
| Authorized Official Name | DAVID CUNNINGHAM (PRESIDENT) |
| Authorized Official Telephone | 2193806423 |
| Authorized Official Credential | BS PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP481655 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2081696 | 01 | |
| PA | 1087737730001 | 05 |
| Other Name | Type Code |
|---|---|
| MILL STREET PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295837300 | Mill Street Pharmacy Inc | Pharmacy | 10639 Al Highway 168, Boaz, AL 35957-1955 | 2006-09-01 |
| Street Address |
416 MILL ST |
| City | BRISTOL |
| State | PA |
| Zip Code | 19007-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285889816 | David Byron Cunningham | Pharmacist | 416 Mill St, Bristol, PA 19007 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1881219863 | Eahab Abdul-lattif | Internal Medicine | 500 Bath Road, Bristol, PA 19007 | 2020-06-15 |
| 1811494248 | Lower Bucks Physician Associates, PC | Pathology | 1 Bath Road, Bristol, PA 19007 | 2018-04-11 |
| 1235658147 | Leah Elizabeth Cohen | Social Worker | 100 Green Ln Ste 2, Bristol, PA 19007 | 2017-09-12 |
| 1922524842 | Genevieve Rongione | Occupational Therapist | Nova Care 100 Green Lane, Bristol, PA 19007 | 2017-08-22 |
| 1609263516 | Katrina Shchupak | Psychiatry & Neurology | 499 Bath Rd, Bristol, PA 19007 | 2015-04-17 |
| 1639504426 | Scott W Pfaff | Physical Therapist | 220 Commerce Circle, Bristol, PA 19007 | 2013-09-11 |
| 1861739997 | Conscu Inc | Ambulance | 2720 Bartam Rd, Suite 7, Bristol, PA 19007 | 2013-01-09 |
| 1417214537 | Leonard Davidson | Family Medicine | 202 Jefferson Ave, Bristol, PA 19007 | 2012-04-13 |
| 1831472067 | Timothy Michael Leicht | Physician Assistant | 335 Radcliffe St., Physician Assistant Surgical Associates, LLC, Bristol, PA 19007 | 2011-09-23 |
| Find all providers in zip 19007 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881150811 | Wilson Pharmacy, Inc. | Pharmacy | 350 Blountville Hwy Ste 102, Bristol, TN 37620-1676 | 2019-02-14 |
| 1609346543 | Bristol Discount Pharmacy Inc | Pharmacy | 247 Mill St, Bristol, PA 19007-4803 | 2018-12-04 |
| 1407950207 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 400 Metacom Ave, Bristol, RI 02809-5188 | 2006-09-12 |
| 1083717722 | Virginia Cvs Pharmacy L L C | Pharmacy | 31 E Valley Dr, Bristol, VA 24201-2822 | 2006-09-07 |
| 1205939907 | Tennessee Cvs Pharmacy LLC | Pharmacy | 3030 W State St, Bristol, TN 37620-1719 | 2006-09-07 |
| 1548363237 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 1379 Volunteer Pkwy, Bristol, TN 37620-5709 | 2006-09-07 |
| 1568477529 | Walgreen Co | Pharmacy | 1460 Lee Hwy, Bristol, VA 24201-2865 | 2006-07-29 |
| 1700805934 | Professional Pharmaceutical Services, Inc. | Pharmacy | 1883 Euclid Ave, Bristol, VA 24201-3605 | 2006-07-19 |
| 1043243439 | Pharmacy Investment Coordinators Inc | Pharmacy | 11049 Nw State Road 20, Bristol, FL 32321-6406 | 2006-07-08 |
| 1275133969 | Bristol Health Pharmacy, LLC | Pharmacy | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-10-30 |
| Find all providers in BRISTOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.