MEDICINE SHOPPE (NPI# 1962514976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962514976 |
| Entity Type | Organization |
| Organization Name | MEDICINE SHOPPE |
| Practice Address |
69 N Market St Nanticoke PA 18634-1553 |
| Practice Telephone | 5707355114 |
| Practice Fax Number | 5707356624 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | TONY DOUGALAS (OWNER PHARMACIST) |
| Authorized Official Telephone | 5707355114 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PP412490L | PA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DEA # | AT1011888 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3942439 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083740492 | Medicine Shoppe | Pharmacy | 1508 W 35th St, Austin, TX 78703-1437 | 2007-02-27 |
| 1902932304 | Medicine Shoppe | Pharmacy | 1204 Columbus Ave, Washington Court House, OH 43160-1655 | 2007-02-27 |
| 1831225234 | Medicine Shoppe | Pharmacy | 10056 Saint Charles Rock Rd, Saint Ann, MO 63074-2022 | 2007-02-27 |
| 1427120229 | Medicine Shoppe | Pharmacy | 920 Lawrence Ave, Ellwood City, PA 16117-1850 | 2006-11-15 |
| 1639271059 | Medicine Shoppe | Pharmacy | 4730 Jackson, Alexandria, LA 71303-2000 | 2006-09-05 |
| 1144332149 | Medicine Shoppe | Pharmacy | 600 Park Ln, Park Center Shopping Center, Chillicothe, MO 64601-1566 | 2006-08-31 |
| 1306958319 | Medicine Shoppe | Pharmacy | 68 Fraley St, Kane, PA 16735-1325 | 2006-08-31 |
| 1356453351 | Medicine Shoppe | Pharmacy | 329 E Highway 12, Litchfield, MN 55355-2295 | 2006-08-31 |
| 1538271523 | Medicine Shoppe | Pharmacy | 702 S Del Mar Ave, San Gabriel, CA 91776-2440 | 2006-08-31 |
| 1982716809 | Medicine Shoppe | Pharmacy | 300 W Shaw Ave Ste 114, Clovis, CA 93612-3680 | 2006-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICINE SHOPPE | 1811 Knoll Dr Ste A, Ventura, CA 93003-7321 |
| Oregon Corporations, Companies and Business Names | MEDICINE SHOPPE | 333 Se 7th Ave Ste 1500, Hillsboro, OR 97123 |
| Vermont Business Registrations | MEDICINE SHOPPE | 20 S Main St Ste 1, Barre, VT 05641 |
| Ohio Business Entities | MEDICINE SHOPPE INTERNATIONAL, INC. | 1 Rider Trail Plaza Drive, Ste 300, Earth City, MO 63045 |
| New York State Corporations | MEDICINE SHOPPE INTERNATIONAL, INC. | 28 Liberty St., New York, New York 10005 |
| System for Award Management (SAM) Entities | MEDICINE SHOPPE OF NEWTON, IL | 600 W Jourdan St, Newton, IL 62448-1056 |
| Vermont Business Registrations | MEDICINE SHOPPE OF SPRINGFIELD | 20 Valley Street, Springfield, VT 05156 |
| Vermont Business Registrations | MEDICINE SHOPPE PHARMACY OF READING | 1170 Perkiomen Avenue, Reading, PA 19602 |
| System for Award Management (SAM) Entities | MEDICINE SHOPPE PHARMACY, THE | 234 W Main St, Bellevue, OH 44811-1330 |
| Vermont Business Registrations | MEDICINE SHOPPE THE | Barre City, VT 05641 |
| Street Address |
69 N MARKET ST |
| City | NANTICOKE |
| State | PA |
| Zip Code | 18634-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104247022 | Srura Pharmacy LLC | Pharmacy | 69 N Market St, Nanticoke, PA 18634-1553 | 2013-12-18 |
| 1104922418 | Anthony Dougalas | Pharmacist | 69 N Market St, Nanticoke, PA 18634-1553 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992707 | Pamela Ann Serratore | Pharmacist | 1 Weis Plaza, Nanticoke, PA 18634 | 2018-11-27 |
| 1225510662 | Amanda Marie Yurko | Counselor | 121 South Prospect St, Nanticoke, PA 18634 | 2018-09-01 |
| 1972055846 | Jeffrey T. Swanberry | Pharmacist | 69 North Market St., Medicine Shoppe, Nanticoke, PA 18634 | 2016-10-26 |
| 1881072999 | Northeast Counseling Services | Clinic/Center | 24-26 East Broad St., Nanticoke, PA 18634 | 2015-05-08 |
| 1861895534 | Kathleen Ann Smith | Pharmacist | 243 S. Prospect St., Nanticoke, PA 18634 | 2014-10-08 |
| 1013128032 | Geisinger Clinic | Physician Assistant | 6 West Green St, Nanticoke, PA 18634 | 2007-05-24 |
| 1356462105 | Northeast Community Crisis Unit | Clinic/Center | 126 N. Washington Street, Nanticoke, PA 18634 | 2007-04-02 |
| 1902946429 | Northeast Counseling Services | Clinic/Center | 24-26 E Broad St, Nanticoke, PA 18634 | 2007-02-07 |
| 1770684276 | Daniel A Walting II | Dentist | 603 Hanover St, Nanticoke, PA 18634 | 2006-09-26 |
| 1083663629 | David Arthur Evans | Optometrist | 245 S Prospect Street, Nanticoke, PA 18634 | 2006-05-10 |
| Find all providers in zip 18634 | ||||
| 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.