CHARLES F TRAEGER (NPI# 1972615490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972615490 |
| Entity Type | Organization |
| Organization Name | CHARLES F TRAEGER |
| Other Organization Name | AYRES DRUG STORE |
| Practice Address |
3000 Walnut St Mckeesport PA 15132-7158 |
| Practice Telephone | 4126723000 |
| Practice Fax Number | 4126728983 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | CHARLES TRAEGER (OWNER) |
| Authorized Official Telephone | 4126723000 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP410097L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000568505 | 05 | |
| OTHER ID NUMBER | 3919543 | 01 |
| Other Name | Type Code |
|---|---|
| Ayres Drug Store | Doing Business As Name - Organization |
| Street Address |
3000 WALNUT ST |
| City | MCKEESPORT |
| State | PA |
| Zip Code | 15132-7158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396854261 | Charles F Traeger | Pharmacist | 3000 Walnut St, Mckeesport, PA 15132-7158 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484163 | Hetal Ramesh Boricha | Student in an Organized Health Care Education/Training Program | 1521 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-07-10 |
| 1821610130 | Tissa Bijoy George | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2020-05-08 |
| 1629699103 | Nassar Mukhtar | Student in an Organized Health Care Education/Training Program | 1321 Fifth Avenue Suite Mckeesport Internal Medicine, Mckeesport, PA 15132 | 2020-05-06 |
| 1851911432 | Waqas Ali | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine 1321 Fifth Avenue, Suite 1, Mckeesport, PA 15132 | 2020-04-23 |
| 1932738739 | Oyinkansola Morenike Ogundimu | Student in an Organized Health Care Education/Training Program | Upmc Mckeesport Latternan Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 | 2020-04-03 |
| 1700415817 | Stephanie C Otuwa | Student in an Organized Health Care Education/Training Program | Upmc Mckeesport Latterman Family Health Center, 2347 Fifth Avenue, Mckeesport, PA 15132 | 2020-04-02 |
| 1417517855 | Anna Jayoung ' Lee | Student in an Organized Health Care Education/Training Program | 2347 5th Ave., Mckeesport, PA 15132 | 2019-06-18 |
| 1447819198 | Tahreem Ahmad | Student in an Organized Health Care Education/Training Program | 1321 Fifth Avenue Mckeesport Internal Medicine, Suite 1, Mckeesport, PA 15132 | 2019-06-06 |
| 1174181614 | Malik Ahmad | Student in an Organized Health Care Education/Training Program | Mckeesport Hospital Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2019-05-30 |
| 1184281198 | Tariq Hassan | Student in an Organized Health Care Education/Training Program | Mckeesport Internal Medicine, 1321 Fifth Avenue Suite 1, Mckeesport, PA 15132 | 2019-05-24 |
| Find all providers in zip 15132 | ||||
| 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 |
|---|---|---|---|---|
| 1649373481 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 311 5th Ave, Mckeesport, PA 15132-2605 | 2006-09-07 |
| 1376558296 | Giant Eagle Inc | Pharmacy | 3812 Oneil Blvd, Mckeesport, PA 15132-1507 | 2006-07-29 |
| 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 | MCKEESPORT |
| Zip Code | 15132 |
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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.