ANTIETAM APOTHECARY INC (NPI# 1326039249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326039249 |
| Entity Type | Organization |
| Organization Name | ANTIETAM APOTHECARY INC |
| Other Organization Name | ANTIETAM PHARMACY |
| Practice Address |
730 S Potomac St Waynesboro PA 17268-2198 |
| Mailing Address |
730 S Potomac St 19211 Rock Maple Drive Waynesboro PA 17268-2198 |
| Practice Telephone | 7177621164 |
| Practice Fax Number | 7177622206 |
| Mailing Telephone | 7177621164 |
| Mailing Fax Number | 7177622206 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2011-10-06 |
| Authorized Official Name | DAVID RILEY (PRESIDENT, PHARMACY MANAGER) |
| Authorized Official Telephone | 7177621164 |
| Authorized Official Credential | RPH MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP412558L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001017808 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3950070 | 01 |
| Other Name | Type Code |
|---|---|
| ANTIETAM PHARMACY | Doing Business As Name - Organization |
| Street Address |
730 S POTOMAC ST |
| City | WAYNESBORO |
| State | PA |
| Zip Code | 17268-2198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790834521 | David Riley | Pharmacist | 730 S Potomac St, Waynesboro, PA 17268-2198 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720277247 | Dawn Marie Snider | Occupational Therapy Assistant | Waynesboro Hospital, 501 East Main Street, Waynesboro, PA 17268 | 2007-10-22 |
| 1538373709 | Pediatric Specialists of Franklin County | Clinical Medical Laboratory | 27 Vista Dr. Unit 3, Waynesboro, PA 17268 | 2007-05-09 |
| 1225104821 | Robert Scott Reffner | Dentist | 1823 E Main St, Suite B, Waynsboro, PA 17268 | 2006-11-27 |
| 1821177510 | Savage Family Pharmacy Inc | Pharmacy | 604 East Main Street, Waynesboro, PA 17268 | 2006-11-03 |
| 1932206406 | Denise Tandjeu Tandjeu | Internal Medicine | 501 E. Main Street, Waynesboro, PA 17268 | 2006-09-19 |
| 1538272646 | Waynesboro Medical Associates,llc | Clinic/Center | 12104 Buchanan Trail East, Waynesboro, PA 17268 | 2006-08-16 |
| 1508873662 | Richard D Myers | Chiropractor | 1975 Market Square Blvd, Waynesboro, PA 17268 | 2006-08-02 |
| 1457392813 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1637 E Main St, Waynesboro, PA 17268 | 2006-06-09 |
| 1366434284 | Quincy Retirement Community | Assisted Living Facility | 6596 Orphanage Rd, Waynesboro, PA 17268 | 2005-08-17 |
| 1700884475 | Michael Joseph Patti | Family Medicine | 6155 Anthony Highway, Waynesboro, PA 17268 | 2005-07-07 |
| Find all providers in zip 17268 | ||||
| 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 |
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| 1104952183 | Cooley Drug Inc | Pharmacy | 310 Mississippi Dr, Waynesboro, MS 39367-2810 | 2007-02-26 |
| 1821188475 | Stanley Discount Drugs, Inc | Pharmacy | 804 Spring St, Waynesboro, MS 39367-2422 | 2006-10-13 |
| 1265539761 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 1235 W Broad St, Waynesboro, VA 22980-4326 | 2006-09-20 |
| 1295838944 | Georgia Cvs Pharmacy LLC | Pharmacy | 317 S Liberty St, Waynesboro, GA 30830-4543 | 2006-09-07 |
| 1962448084 | Rp Semler Corp Inc | Pharmacy | 250 C N Poplar Ave, Waynesboro, VA 22980 | 2006-06-20 |
| 1821054289 | Duren Clinical Services, LLC | Pharmacy | 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 | 2006-04-25 |
| 1144838574 | Burke County Hospital Authority | Pharmacy | 351 S Liberty St, Waynesboro, GA 30830-9686 | 2020-07-22 |
| 1285067280 | Duren Clinical Services | Pharmacy | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | 2013-08-13 |
| 1811277676 | Rodger William Savage | Pharmacy | 604 E Main St, Waynesboro, PA 17268-2387 | 2011-08-25 |
| 1679789242 | White Columns Consulting, Inc. | Pharmacy | 119 W 6th St, Waynesboro, GA 30830-1459 | 2007-05-14 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 17268 |
Please comment or provide details below to improve the information on ANTIETAM APOTHECARY INC.
| 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.