PENN BEAVER PHARMACY INC (NPI# 1609891498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609891498 |
| Entity Type | Organization |
| Organization Name | PENN BEAVER PHARMACY INC |
| Other Organization Name | MEDICINE SHOPPE |
| Practice Address |
734 Ohio River Blvd Rochester Plaza Rochester PA 15074-1413 |
| Practice Telephone | 7247287455 |
| Practice Fax Number | 7247283717 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENA FERMAN (THIRD PARTY PLAN COORDINATOR) |
| Authorized Official Telephone | 3149936000 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | PP413982L | PA | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3954725 | 01 |
| Other Name | Type Code |
|---|---|
| MEDICINE SHOPPE | Doing Business As Name - Organization |
| Street Address |
734 OHIO RIVER BLVD ROCHESTER PLAZA |
| City | ROCHESTER |
| State | PA |
| Zip Code | 15074-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922657162 | Leslie C. Yaccich | Technician | 742 Mclean Street, Rochester, PA 15074 | 2019-09-10 |
| 1366969339 | Jenna Marie George | Dietitian, Registered | 300 Brighton Avenue, Suite 110, Rochester, PA 15074 | 2017-08-29 |
| 1457759334 | Monica Joyce Dickerman | Occupational Therapist | 174 Virginia Avenue, Rochester, PA 15074 | 2014-12-09 |
| 1356501712 | Eudora Patricia Williams | Durable Medical Equipment & Medical Supplies | 454 Hamrony Ave, Rochester, PA 15074 | 2008-06-10 |
| 1629137559 | Mario A. Grippa | Chiropractor | 373 Virginia Avenue, Rochester, PA 15074 | 2006-12-06 |
| 1831691161 | Lauren Elizabeth Stone | Dental Hygienist | 176 Virginia Ave, Rochester, PA 15074 | 2018-03-02 |
| 1114297652 | Angela Marie Gilkey | Registered Nurse | 176 Virginia Ave, Rochester, PA 15074 | 2011-12-30 |
| 1326073602 | Adele Ruth Hathaway | Social Worker | 176 Virginia Ave, Wpic of Upmc Beaver Valley, Rochester, PA 15074 | 2006-07-12 |
| 1760044093 | Hidden Hill Horse Farm | Recreation Therapist | 600 Pittsburgh Rd, Rochester, PA 15074-1003 | 2019-07-08 |
| 1821061631 | Rochester Area School District | Case Management | 540 Reno St, Rochester, PA 15074-1240 | 2006-02-10 |
| Find all providers in zip 15074 | ||||
| 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 |
|---|---|---|---|---|
| 1659816916 | Garnett Pharmacy | Pharmacy | 2780 Dewey Ave, Rochester, NY 14616-4626 | 2016-12-22 |
| 1629510854 | Thrifty Drug Stores Inc | Pharmacy | 2018 15th St Nw, Rochester, MN 55901-0716 | 2016-11-04 |
| 1104291293 | Genoa Healthcare, LLC | Pharmacy | 25 Old Dover Rd Unit B, Rochester, NH 03867-3490 | 2015-12-01 |
| 1699164863 | Memaw Inc | Pharmacy | 176 Virginia Ave Fl 3, Rochester, PA 15074-1723 | 2015-01-12 |
| 1780958553 | Your Local Pharmacy LLC | Pharmacy | 780 Joseph Ave, Rochester, NY 14621-4735 | 2012-02-26 |
| 1255561783 | University of Rochester | Pharmacy | 180 Sawgrass Dr Ste 100, Rochester, NY 14620-4652 | 2009-07-17 |
| 1033390380 | Tops Markets LLC | Pharmacy | 999 E Ridge Rd, Rochester, NY 14621-1936 | 2007-11-15 |
| 1932251287 | Weber & Judd Co | Pharmacy | 101 1st Ave Sw, Rochester, MN 55902-3146 | 2007-01-17 |
| 1447323969 | Kroger Limited Partnership I | Pharmacy | 2040 Peace Tree Vlg, Rochester, IN 46975-2630 | 2006-11-15 |
| 1982793592 | Weber & Judd Co | Pharmacy | 1315 6th St Nw, Rochester, MN 55901-1822 | 2006-10-12 |
| Find all providers in ROCHESTER | ||||
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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.