BRUNDAGE PHARMACIES INC. (NPI# 1609223197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609223197 |
| Entity Type | Organization |
| Organization Name | BRUNDAGE PHARMACIES INC. |
| Other Organization Name | BRUNDAGE'S LAKE REGION PHARMACY |
| Practice Address |
2489 Route 6 Hawley PA 18428-6078 |
| Mailing Address |
Po Box 398 Waymart PA 18472-0398 |
| Practice Telephone | 5703907655 |
| Practice Fax Number | 5703907657 |
| Mailing Telephone | 5704887979 |
| Mailing Fax Number | 5704887773 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | MICHAEL BRUNDAGE (PRESIDENT) |
| Authorized Official Telephone | 5704887979 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PP482647 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160099 | 01 |
| Other Name | Type Code |
|---|---|
| Brundage's Lake Region Pharmacy | Doing Business As Name - Organization |
| Street Address |
2489 ROUTE 6 |
| City | HAWLEY |
| State | PA |
| Zip Code | 18428-6078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952391625 | Ethan Arthur Singer | Registered Nurse | 2489 Route 6, Hawley, PA 18428-6078 | 2005-10-25 |
| 1497293518 | Elmtree Wellness Center, Inc. | Clinic/Center | 2489 Route 6, Suite 6, Hawley, PA 18428-6078 | 2017-02-09 |
| 1700287414 | The Singer Group LLC | Clinic/Center | 2489 Route 6, Hawley, PA 18428-6078 | 2014-09-12 |
| 1740506179 | Working Hand Therapy LLC | Occupational Therapist | 2489 Route 6, Hawley, PA 18428-6078 | 2010-04-09 |
| 1063462455 | Kevin B. Reed | Pharmacist | 2489 Route 6, Hawley, PA 18428-6078 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497225619 | Julia Catherine Blaskiewicz | Physical Medicine & Rehabilitation | 2489 Us 6 Greshams Landing, Hawley, PA 18428 | 2018-11-30 |
| 1881108033 | Susan Ratki, O.t., LLC | Occupational Therapist | 1313 Hemlock Farms, Hawley, PA 18428 | 2017-11-27 |
| 1932644960 | Anthony S. Diecidue P.C. | Optometrist | 2571 Rte 6, Suite 1, Hawley, PA 18428 | 2016-12-29 |
| 1134675739 | Lindsay Masker | Behavioral Analyst | 2858 Hemlock Farms, Lords Valley, PA 18428 | 2016-09-01 |
| 1700201787 | The Singer Group, LLC | Nurse Practitioner | 2489 Us Route 6, Hawley, PA 18428 | 2014-02-27 |
| 1376833343 | Shetaye Gulelat | Pharmacist | 667 Route 739, Hawley, PA 18428 | 2011-04-12 |
| 1679886261 | Eileen Riley | Social Worker | 110 Hemlock Farms Road, Lords Valley, PA 18428 | 2010-07-23 |
| 1689803181 | Frank Deluca | Psychologist | 134 Fetlock Drive, Lords Valley, PA 18428 | 2009-07-07 |
| 1902066996 | Kelly S Lawrence | Counselor | 8 Silk Mill Drive, Suite 201, Hawley, PA 18428 | 2008-06-12 |
| 1366613812 | Carl Dennis Muehlbauer | Pharmacist | Rt 6 590 Palmrya Township, Lake Regional Center, Hawley, PA 18428 | 2008-03-12 |
| Find all providers in zip 18428 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750470308 | Lords Valley Village Pharmacy Inc | Pharmacy | 658 Route 739, Suite 5, Hawley, PA 18428-6086 | 2006-10-12 |
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|---|---|---|---|---|
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| 1386269033 | San Juan Pharmacy LLC | Pharmacy | 200 W Buttonwood St, Reading, PA 19601-2603 | 2020-06-09 |
| 1831719319 | Mark Conklin | Pharmacy | 127 Greenbriar Dr, Wexford, PA 15090-7322 | 2020-04-24 |
| 1912536517 | Hsjc LLC | Pharmacy | 4165 N Franklin St, Philadelphia, PA 19140-2207 | 2020-04-06 |
| 1962036806 | Care Discount Pharmacy | Pharmacy | 5610 Derry St Ste 5, Harrisburg, PA 17111-3518 | 2020-03-01 |
| 1114564945 | Priority Care Rx LLC | Pharmacy | 127 S 5th St Ste 190, Quakertown, PA 18951-1674 | 2019-11-27 |
| 1326683707 | Vista Pharmacy LLC | Pharmacy | 938 N 8th St, Reading, PA 19604-2308 | 2019-11-09 |
| 1750926119 | Dharm Nandan LLC | Pharmacy | 3808 Morrell Ave, Philadelphia, PA 19114-1915 | 2019-11-08 |
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 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.