ALTOONA PHARMACY INC (NPI# 1548537988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548537988 |
| Entity Type | Organization |
| Organization Name | ALTOONA PHARMACY INC |
| Other Organization Name | ALTOONA PHARMACY |
| Practice Address |
620 Howard Ave Bldg G Suite 403 Altoona PA 16601-4804 |
| Mailing Address |
Po Box 103 Transfer PA 16154-0103 |
| Practice Telephone | 8142830602 |
| Practice Fax Number | 8142830606 |
| Mailing Telephone | 7246461131 |
| Mailing Fax Number | 7246461177 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | BRETTON WALBERG (OWNER) |
| Authorized Official Telephone | 7246122131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482174 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2130726 | 01 | |
| PA | 102748855 0001 | 05 |
| Other Name | Type Code |
|---|---|
| Altoona Pharmacy | Doing Business As Name - Organization |
| Street Address |
620 HOWARD AVE BLDG G SUITE 403 |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174521124 | Altoona Regional Health System | Rehabilitation Hospital | 620 Howard Ave, Altoona, PA 16601-4804 | 2005-07-13 |
| 1700484946 | Keri Rose Fulton | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-10-10 |
| 1295332609 | Abigail Printz | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-10-08 |
| 1194335091 | Ashley Shaheen | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-08-05 |
| 1316555899 | Nicole Allen | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-07-21 |
| 1053939900 | Elizabeth Lantznester | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-07-08 |
| 1841817616 | Taylor Nicole Young | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-06-28 |
| 1891310447 | Nicole Elizabeth Taylor | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-06-10 |
| 1184256919 | Alyson Strapple | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-02-10 |
| 1679113567 | Matthew Bogdanski | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
| 1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
| 1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
| 1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
| 1871052407 | Ji Won Lee | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2019-03-13 |
| 1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
| 1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
| 1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
| 1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
| 1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
| Find all providers in zip 16601 | ||||
| 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 |
|---|---|---|---|---|
| 1558683193 | Giant Food Stores, LLC | Pharmacy | 1000 Logan Blvd, Suite 108, Altoona, PA 16602-4028 | 2010-02-24 |
| 1881812857 | Klein Drug Shoppe, Inc | Pharmacy | 87490 Us Highway 278, Altoona, AL 35952 | 2007-04-23 |
| 1811084031 | Altoona Union Avenue Pharmacy | Pharmacy | 2411 8th Ave, Altoona, PA 16602-2105 | 2006-10-09 |
| 1679676423 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 200 E Plank Rd, Altoona, PA 16602-4110 | 2006-09-07 |
| 1740395771 | Iowa Family Pharmacy Inc | Pharmacy | 325 8th St Se, Altoona, IA 50009 | 2006-08-20 |
| 1255346177 | Giant Eagle Inc | Pharmacy | 181 Sophrira Ln, Altoona, PA 16602-6543 | 2006-07-29 |
| 1558383299 | Iowa Cvs Pharmacy LLC | Pharmacy | 3414 8th St Sw, Altoona, IA 50009-1024 | 2006-07-24 |
| 1285671685 | Thompson Enterprises, Inc. | Pharmacy | 1118 12th St, Altoona, PA 16601-3412 | 2006-06-02 |
| 1366780405 | Altoona Union Avenue Pharmacy | Pharmacy | 2411 8th Ave, Altoona, PA 16602-2105 | 2013-01-24 |
| 1508082140 | Greenwood Drugs | Pharmacy | 1667 Bellemeade Dr, Altoona, PA 16602-7402 | 2007-04-18 |
| Find all providers in ALTOONA | ||||
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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.