ETHICAL FACTOR RX LLC (NPI# 1871881573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871881573 |
| Entity Type | Organization |
| Organization Name | ETHICAL FACTOR RX LLC |
| Other Organization Name | ETHICAL FACTOR RX |
| Practice Address |
4213 Birney Ave Suite 4 Moosic PA 18507 |
| Mailing Address |
Po Box 4047 Scranton PA 18505-6047 |
| Practice Telephone | 5706063622 |
| Practice Fax Number | 5703716317 |
| Mailing Telephone | 5706063622 |
| Mailing Fax Number | 5703716317 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | LISA TOMCYKOSKI (VP/DIRECTOR OF PHARMACY/CEO) |
| Authorized Official Telephone | 5706063622 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 5301009850 | MI | Suppliers |
| N | 333600000X | Pharmacy | 28RO00071900 | NJ | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P06270 | MD | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PP482191 | PA | Suppliers |
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1871881573 | 05 | |
| MD | 4222598 00 | 05 | |
| WI | 1871881573 | 05 | |
| NJ | 0298883 | 05 | |
| NC | 1871881573 | 05 | |
| AZ | 1871881573 | 05 | |
| NY | 03629343 | 05 | |
| MI | 1871881573 | 05 | |
| PK | 2131101 | 01 | |
| PA | 102678278 0002 | 05 | |
| OK | 200595730A | 05 |
| Other Name | Type Code |
|---|---|
| Ethical Factor Rx | Doing Business As Name - Organization |
| Street Address |
4213 BIRNEY AVE SUITE 4 |
| City | MOOSIC |
| State | PA |
| Zip Code | 18507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184270969 | Frances R Acker- Pisko | Massage Therapist | 540 Gleason Drive, Moosic, PA 18507 | 2019-08-16 |
| 1457854150 | Leanna Tabatabaie | Dietitian, Registered | 532 Main St Ste 3, Moosic, PA 18507 | 2018-03-09 |
| 1689092769 | James Vito Squadrito Jr. | Physical Therapist | 3356 Birney Plaza, Pro Rehabilitation Services, Moosic, PA 18507 | 2014-04-04 |
| 1508955725 | Edward Christopher Grambo | Dentist | 3812 Birney Ave, Moosic, PA 18507 | 2006-10-12 |
| 1316044431 | Moosic Dental Group Inc | Dentist | 502 Church Street, Moosic, PA 18507 | 2006-09-20 |
| 1528047347 | Ralph Demario | Internal Medicine | 340 Momtage Mt Road, Moosic, PA 18507 | 2006-01-11 |
| 1023658895 | Ichs Corporatioin | Clinic/Center | 73 Montage Mountain Road, Moosic, PA 18507 | 2020-01-09 |
| 1285012526 | Laura Herbener | Nurse Practitioner | 53 Glenmaura National Blvd, Moosic, PA 18507 | 2015-05-06 |
| 1104266824 | Travis Edward Perry | Dentist | 502 Church Street, Moosic, PA 18507 | 2013-06-26 |
| 1104122233 | Kacey A Tomko | Physician Assistant | 340 Montage Mountain Rd, Moosic, PA 18507 | 2011-02-08 |
| Find all providers in zip 18507 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1750843314 | Pantherx Specialty LLC | Pharmacy | 1120 Stevenson Mill Rd Ste 400, Coraopolis, PA 15108-2446 | 2019-04-03 |
| 1992261382 | Lehigh Valley Hospital | Pharmacy | 2024 Lehigh St Ste 600, Allentown, PA 18103-4938 | 2019-02-11 |
| 1194213652 | Ccn America, Lp | Pharmacy | 300 Penn Center Blvd Ste 405, Pittsburgh, PA 15235-5511 | 2018-04-30 |
| 1306362710 | St Lukes Homestar Services LLC | Pharmacy | 77 S Commerce Way Ste 200, Bethlehem, PA 18017-8891 | 2017-08-17 |
| 1992158208 | Ghanshyam Healthcare Inc | Pharmacy | 460 W Lehigh Ave, Philadelphia, PA 19133-3135 | 2016-07-21 |
| 1477904449 | Sunray Drugs Specialty | Pharmacy | 142 S 52nd St, Suite 201, Philadelphia, PA 19139-3409 | 2016-06-30 |
| 1891187290 | Neff Drugs 31 LLC | Pharmacy | 825 E Allegheny Ave, Philadelphia, PA 19134-2401 | 2015-02-23 |
| 1164779617 | Madame Rx, LLC | Pharmacy | 950 Henderson Blvd, Folcroft, PA 19032-1805 | 2012-08-14 |
| 1760770382 | Kim Pharmaceuticals LLC | Pharmacy | 109 W Chelten Ave, Philadelphia, PA 19144-3301 | 2011-07-17 |
| 1275856148 | Rezk Pharmacy LLC | Pharmacy | 204 South Main St, Suite 100, Carrolltown, PA 15722 | 2010-03-08 |
| 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.