EVANS CITY APOTHECARY AND WELLNESS CENTER (NPI# 1720108756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720108756 |
| Entity Type | Organization |
| Organization Name | EVANS CITY APOTHECARY AND WELLNESS CENTER |
| Practice Address |
122 N Washington St Evans City PA 16033-1063 |
| Practice Telephone | 7245383667 |
| Practice Fax Number | 7245383826 |
| Mailing Telephone | 7245383667 |
| Mailing Fax Number | 7245383826 |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JEFFREY P MUSTOVIC (OWNER PHARMACIST) |
| Authorized Official Telephone | 7245383667 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PP415497L | PA | Suppliers |
| Street Address |
122 N WASHINGTON ST |
| City | EVANS CITY |
| State | PA |
| Zip Code | 16033-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891014692 | Kelley Jean Pierce | Occupational Therapy Assistant | 107 Village Acres Drive, #7, Evans City, PA 16033 | 2010-05-19 |
| 1215052915 | Tioga County Dept of Human Services | Clinic/Center | St. James Complex, St. James & Third St. Bldg A Suite 109, Mansfield, PA 16033 | 2007-03-20 |
| 1619120771 | Heather Hubert | Physical Therapist | 213 E Main St, Evans City, PA 16033 | 2008-11-02 |
| 1083883029 | Thomas D Schoeffel | Chiropractor | 320 East Main St, Evans City, PA 16033 | 2008-02-25 |
| 1629163266 | David A. Huber | Dentist | 213 East Main Street, Evans City, PA 16033 | 2006-10-03 |
| 1932582509 | Family Dentistry of Evans City | Dentist | 133 Elizabeth Ave, Evans City, PA 16033-1016 | 2015-07-01 |
| 1326499526 | Scott Nellis | Family Medicine | 217 East Main Street, Evans City, PA 16033-1219 | 2016-06-29 |
| 1396741492 | Elliot L Smith | Internal Medicine | 217 E Main St, Evans City, PA 16033-1219 | 2005-06-23 |
| 1720564073 | Hubert Physical Therapy LLC | Physical Therapist | 213 E Main St, Evans City, PA 16033-1219 | 2018-07-18 |
| 1770912065 | Heather Ann Pence | Pharmacist | 201 E Main St, Evans City, PA 16033-1219 | 2013-11-06 |
| Find all providers in zip 16033 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760851265 | Bdrx LLC | Pharmacy | 1 N West End Blvd, Quakertown, PA 18951-1133 | 2015-09-15 |
| 1801208491 | Reliant Care Solutions Lp | Pharmacy | 403 S Oxford Valley Rd Ste 2, Fairless Hills, PA 19030-4202 | 2014-05-30 |
| 1083026199 | Rabskvi Health Inc | Pharmacy | 1571 Manheim Pike, Lancaster, PA 17601-3071 | 2014-05-22 |
| 1871914473 | Specialty Pharmacy Services LLC | Pharmacy | 445 W Main St Ste 7, Mount Pleasant, PA 15666-1533 | 2013-12-27 |
| 1841629433 | Insight Pharmaceutical LLC | Pharmacy | 700 E Township Line Rd # Ll2b, Havertown, PA 19083-5733 | 2013-11-05 |
| 1477980324 | Darshan Bapa Inc | Pharmacy | 8275 Bustleton Ave, Philadelphia, PA 19152-2425 | 2013-10-07 |
| 1619212032 | Fishtown Pharmacy LLC | Pharmacy | 1802 Frankford Ave, Philadelphia, PA 19125-2403 | 2012-12-11 |
| 1669717369 | Apothecary of Harleysville | Pharmacy | 345 Main St Ste 7, Harleysville, PA 19438-2420 | 2012-12-06 |
| 1497017461 | Innovative Pharmacy LLC | Pharmacy | 2014 Ford Rd Ste B, Bristol, PA 19007-6743 | 2012-06-14 |
| 1720345309 | Blue Mountain Compounding LLC | Pharmacy | 2453 Plaza Ct, Ste B, Bath, PA 18014-8762 | 2012-04-19 |
| Find all providers with the same taxonomy | ||||
| City | EVANS CITY |
| Zip Code | 16033 |
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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.