BENTLEYVILLE MEDICINE SHOPPE INC (NPI# 1356788368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356788368 |
| Entity Type | Organization |
| Organization Name | BENTLEYVILLE MEDICINE SHOPPE INC |
| Other Organization Name | BENTLEYVILLE MEDICINE SHOPPE |
| Practice Address |
808 Main St Bentleyville PA 15314-1214 |
| Practice Telephone | 7242393600 |
| Practice Fax Number | 7242393601 |
| Mailing Telephone | 7242393600 |
| Mailing Fax Number | 7242393601 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2019-03-17 |
| Authorized Official Name | JOHN D CRUMRINE (PRESIDENT) |
| Authorized Official Telephone | 7242393600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482389 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102979600001 | 05 |
| Other Name | Type Code |
|---|---|
| Bentleyville Medicine Shoppe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497214670 | Bentleyville Medicine Shoppe Inc | Pharmacy | 808 Main St, Bentleyville, PA 15314-1214 | 2019-03-18 |
| Street Address |
808 MAIN ST |
| City | BENTLEYVILLE |
| State | PA |
| Zip Code | 15314-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093704728 | Andrew Frank Kuzy | Pharmacist | 808 Main St, Bentleyville, PA 15314-1214 | 2005-10-15 |
| 1497214670 | Bentleyville Medicine Shoppe Inc | Pharmacy | 808 Main St, Bentleyville, PA 15314-1214 | 2019-03-18 |
| 1043796824 | John David Crumrine | Pharmacist | 808 Main St, Bentleyville, PA 15314-1214 | 2018-07-16 |
| 1811986540 | Kuzy's Drug Store | Pharmacy | 808 Main St, Bentleyville, PA 15314-1214 | 2005-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033695077 | Centerville Clinics Inc | Social Worker | Bentworth Middle School, 563 Lincoln Avenue, Bentleyville, PA 15314 | 2018-07-12 |
| 1205312394 | Centerville Clinics Inc | Social Worker | Bentworth Elementary School, 150 Bearcat Drive, Bentleyville, PA 15314 | 2018-07-12 |
| 1376927426 | Britney Harff | Physical Therapy Assistant | 28 Johnston Rd Ext, Bentleyville, PA 15314 | 2015-07-17 |
| 1932393535 | Diana Sue Guarinoni | Physical Therapist | 998-b Main Street, Bentleyville, PA 15314 | 2007-08-28 |
| 1881679801 | Michelle C Kubistek | Physical Therapist | 998b Main Street, Bentleyville, PA 15314 | 2005-12-13 |
| 1881815645 | Jonathan Scott Richards | Pharmacist | 175 Wilson Road, Bentleyville, PA 15314 | 2007-05-01 |
| 1760491484 | Tammy Fendya | Nurse Practitioner | 119 Wilson Rd, Bentleyville, PA 15314 | 2006-08-05 |
| 1609038017 | Stephanie Lynn Wilson | Physical Therapist | 121 Wilson Rd, Bentleyville, PA 15314-1027 | 2008-06-26 |
| 1841218815 | Joel S Rozen | Dentist | 147 Wilson Rd, Bentleyville, PA 15314-1027 | 2006-07-18 |
| 1992701106 | Southwest Medical Center, Inc | Internal Medicine | 119 Wilson Rd, Bentleyville, PA 15314-1027 | 2005-06-22 |
| Find all providers in zip 15314 | ||||
| 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 | ||||
| City | BENTLEYVILLE |
| Zip Code | 15314 |
Please comment or provide details below to improve the information on BENTLEYVILLE MEDICINE SHOPPE 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.