JOHN R SLAGLE (NPI# 1770676959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770676959 |
| Entity Type | Organization |
| Organization Name | JOHN R SLAGLE |
| Other Organization Name | TIONESTA PHARMACY |
| Practice Address |
105 Faulkner Drive Tionesta PA 16353 |
| Mailing Address |
Po Box 340 Tionesta PA 16353-0340 |
| Practice Telephone | 8147553557 |
| Practice Fax Number | 8147553648 |
| Mailing Telephone | 8147553557 |
| Mailing Fax Number | 8147553648 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | JOHN SLAGLE (OWNER) |
| Authorized Official Telephone | 8147826215 |
| Authorized Official Credential | RPH |
| 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 |
PP413809L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2085419 | 01 | |
| PA | 1007724210004 | 05 |
| Other Name | Type Code |
|---|---|
| TIONESTA PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679565741 | John R Slagle | Pharmacy | 100 Liberty St, Clarion, PA 16214-1808 | 2005-08-16 |
| 1407314883 | John R Slagle | Pharmacy | 100 Liberty St, Clarion, PA 16214-1808 | 2019-03-05 |
| 1124112644 | John R Slagle | Pharmacy | 216 High St, Waterford, PA 16441 | 2006-10-02 |
| Street Address |
105 FAULKNER DRIVE |
| City | TIONESTA |
| State | PA |
| Zip Code | 16353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730256173 | Tionesta Ambulance Service, Inc | Ambulance | 648 Elm Street, Tionesta, PA 16353-0157 | 2006-11-29 |
| 1386699908 | North Clarion County School District | Local Education Agency (LEA) | 10439 Route 36, Tionesta, PA 16353-3933 | 2006-05-23 |
| 1659988632 | Sean Gaylord Weaver | Physician Assistant | 2183 Stitzinger Rd, Tionesta, PA 16353-5343 | 2020-09-24 |
| 1740310184 | Deerfield Behavioral Health of Warren | Clinic/Center | 623 Elm St, Tionesta, PA 16353-8803 | 2007-03-06 |
| 1174881775 | Lara Kathleen Johnson | Specialist/Technologist | 111 Bridge St, Tionesta, PA 16353-9737 | 2012-05-02 |
| 1326509837 | Titusville Area Hospital | Clinic/Center | 111 Bridge St, Tionesta, PA 16353-9737 | 2019-03-27 |
| 1073900643 | Mary T. Peterson | Occupational Therapy Assistant | 111 Bridge St, Tionesta, PA 16353-9737 | 2015-04-22 |
| 1265824916 | Bradley Rapp | Physical Therapist | 111 Bridge St, Tionesta, PA 16353-9737 | 2015-03-04 |
| 1619369493 | Joshua Griffin | Physical Therapy Assistant | 111 Bridge St, Tionesta, PA 16353-9737 | 2015-03-03 |
| 1427461052 | Saint Vincent Medical Education and Research Institute | Family Medicine | 111 Bridge St, Tionesta, PA 16353-9737 | 2014-06-11 |
| Find all providers in zip 16353 | ||||
| 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 |
|---|---|---|---|---|
| 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.