SLOANDALE ENTERPRISES (NPI# 1720452824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720452824 |
| Entity Type | Organization |
| Organization Name | SLOANDALE ENTERPRISES |
| Other Organization Name | THE MEDICINE SHOPPE PHARMACY |
| Practice Address |
206 S Martin St Titusville PA 16354-1851 |
| Practice Telephone | 8148271849 |
| Practice Fax Number | 8148270220 |
| Mailing Telephone | 8148271849 |
| Mailing Fax Number | 8148270220 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | CLYDE WILLEY (OWNER) |
| Authorized Official Telephone | 8148271849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482649 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2159091 | 01 | |
| PA | 103112999 | 05 |
| Other Name | Type Code |
|---|---|
| The Medicine Shoppe Pharmacy | Doing Business As Name - Organization |
| Street Address |
206 S MARTIN ST |
| City | TITUSVILLE |
| State | PA |
| Zip Code | 16354-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073914883 | Brittany Ann Masterson | Physician Assistant | 150 West Central Avenue, Titusville, PA 16354 | 2014-09-11 |
| 1306050299 | Scott Coleman Smith | Nurse Anesthetist, Certified Registered | Titusville Area Health Services, Inc. - Anesthesia, 406 West Oak Street, Titusville, PA 16354 | 2007-05-09 |
| 1871716621 | Wayne A Martin | Dentist | 202 Union Street, Ste 3, Titusville, PA 16354 | 2007-04-10 |
| 1952469660 | Shelly L Proper | Counselor | 115 West Spring Street, Titusville, PA 16354 | 2006-12-05 |
| 1124190830 | Ashleigh K English | Counselor | 115 West Spring St, Titusville, PA 16354 | 2006-11-15 |
| 1104921428 | Titusville Area Hospital | Medicare Defined Swing Bed Unit | 406 West Oak Street, Titusville, PA 16354 | 2006-09-13 |
| 1891899332 | Titusville Area Hospital | General Acute Care Hospital | 406 West Oak St., Titusville, PA 16354 | 2006-09-12 |
| 1891800470 | James Leo Kristobak | Dentist | 129 N Franklin St, Titusville, PA 16354 | 2006-08-21 |
| 1770531295 | Kathleen D Etzel | Radiology | 406 W Oak Street, Titusville, PA 16354 | 2006-05-05 |
| 1235104977 | American Homepatient, Inc. | Durable Medical Equipment & Medical Supplies | Drake Mall, Titusville, PA 16354 | 2006-02-17 |
| Find all providers in zip 16354 | ||||
| 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 |
|---|---|---|---|---|
| 1235415662 | Itani Family Pharmacy Plc | Pharmacy | 2507 Garden St, Titusville, FL 32796-4612 | 2011-10-31 |
| 1710296561 | Giant Eagle, Inc. | Pharmacy | 110 S Martin St, Titusville, PA 16354-1850 | 2010-09-28 |
| 1770818106 | Scripts 'r' Us Pharmacy LLC | Pharmacy | 373 Cheney Hwy, Titusville, FL 32780-7272 | 2009-10-02 |
| 1528267499 | Coastal Pharmacy LLC | Pharmacy | 504 Garden St, Titusville, FL 32796 | 2007-07-12 |
| 1932203858 | Holiday Cvs LLC | Pharmacy | 5 Garden St, Titusville, FL 32796-2840 | 2006-09-12 |
| 1093818841 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 110 E Central Ave, Titusville, PA 16354-1843 | 2006-09-07 |
| 1205808441 | E K Thompson & Son | Pharmacy | 105 S Franklin St, Titusville, PA 16354-1737 | 2006-02-02 |
| 1780226555 | Brevard Health Alliance Inc | Pharmacy | 1537 N Singleton Ave, Titusville, FL 32796-1679 | 2019-10-14 |
| 1023330909 | Hopkins Pharmacy Inc | Pharmacy | 4401 S Hopkins Ave, #102, Titusville, FL 32780-6679 | 2010-02-19 |
| 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 | ||||
| City | TITUSVILLE |
| Zip Code | 16354 |
Please comment or provide details below to improve the information on SLOANDALE ENTERPRISES.
| 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.