JL SLOCUM LLC (NPI# 1306212444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306212444 |
| Entity Type | Organization |
| Organization Name | JL SLOCUM LLC |
| Other Organization Name | OLD FORGE PHARMACY |
| Practice Address |
821 S Main St Suite 1 Old Forge PA 18518-1497 |
| Practice Telephone | 5704573200 |
| Practice Fax Number | 5704573220 |
| Mailing Telephone | 5704573200 |
| Mailing Fax Number | 5704573220 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2016-07-12 |
| Authorized Official Name | LORI ANN SLOCUM (PHARMACIST) |
| Authorized Official Telephone | 5704301990 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RP046173 | PA | Pharmacy Service Providers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482577 | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Old Forge Pharmacy | Doing Business As Name - Organization |
| Street Address |
821 S MAIN ST SUITE 1 |
| City | OLD FORGE |
| State | PA |
| Zip Code | 18518-1497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245214337 | Michael A Jalowiec | Internal Medicine | 821 S Main St, Suite 4, Old Forge, PA 18518-1497 | 2005-12-01 |
| 1487908950 | Michelle L Gauntlett | Physician Assistant | 821 S Main St, Suite3, Old Forge, PA 18518-1497 | 2012-11-05 |
| 1386874188 | Leann Zuby | Nurse Practitioner | 821 S Main St, Suite 4, Old Forge, PA 18518-1497 | 2009-07-15 |
| 1487822573 | Marianne J. Santioni, D.o., PC | Internal Medicine | 821 S Main St, Suite 3, Old Forge, PA 18518-1497 | 2008-02-12 |
| 1790803302 | Michael A Jalowiec Do PC | Internal Medicine | 821 S Main St, Suite 4, Old Forge, PA 18518-1431 | 2007-03-26 |
| 1477636421 | Capitano Pharmaceutical Services Inc | Durable Medical Equipment & Medical Supplies | 821 S Main St, Ste 1, Old Forge, PA 18518-1497 | 2006-10-23 |
| 1205868668 | Marianne J Santioni | Internal Medicine | 821 S Main St, Suite 3, Old Forge, PA 18518-1431 | 2006-07-07 |
| 1558307785 | David J Chromey | Podiatrist | 821 S Main St, Old Forge, PA 18518-1497 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134536519 | Geisinger Clinic | Family Medicine | 939 Moosic Road, Old Forge, PA 18518 | 2014-07-17 |
| 1407285331 | Kelly A. Bartels | Occupational Therapist | 106 Tamara Dr, Old Forge, PA 18518 | 2013-11-01 |
| 1114216967 | Bridget Elizabeth Thomas | Pharmacist | 401-403 Main St, Old Forge, PA 18518 | 2011-04-01 |
| 1720377666 | Deborah M. Dunbar | Pharmacist | 401-403 South Main St., Old Forge, PA 18518 | 2011-03-31 |
| 1215235114 | Verna Mae Saleski | Nurse Practitioner | 1315 Colfax Ave, Maternal Family Health Services Circle of Care, Scranton, PA 18518 | 2011-03-02 |
| 1801909528 | Jan Charles Stampien | Dentist | 121 Moosic Rd, Old Forge Medical Center, Old Forge, PA 18518 | 2006-08-16 |
| 1700810835 | William Allen Stang Jr. | Specialist/Technologist | 501 South Main St, Physical Therapy Associates Nepa, Old Forge, PA 18518 | 2006-07-11 |
| 1093784076 | Stephen Robert Paranich | Chiropractor | 102 N Main St, Old Forge, PA 18518 | 2006-03-14 |
| 1720377005 | Kellyann Daley | Pharmacist | 401 South Main St, Old Forge, PA 18518 | 2011-04-07 |
| 1801009196 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 S. Main St, Old Forge, PA 18518 | 2007-05-07 |
| Find all providers in zip 18518 | ||||
| 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 |
|---|---|---|---|---|
| 1235245903 | Capitano's Pharmacy | Pharmacy | 101 S Main St, Old Forge, PA 18518-1600 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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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.