BROCKWAY DRUG CO., INC. (NPI# 1710995071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710995071 |
| Entity Type | Organization |
| Organization Name | BROCKWAY DRUG CO., INC. |
| Practice Address |
1365 Main St Brockway PA 15824-1635 |
| Practice Telephone | 8142683305 |
| Practice Fax Number | 8142651143 |
| Mailing Telephone | 8142683305 |
| Mailing Fax Number | 8142651143 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-02-08 |
| Authorized Official Name | MR. RONALD EDWARD MATSON (OWNER) |
| Authorized Official Telephone | 8142683305 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PP410257L | PA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP410257L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP NUMBER | 3915482 | 01 | |
| PA | 0006339800002 | 05 |
| Street Address |
1365 MAIN ST |
| City | BROCKWAY |
| State | PA |
| Zip Code | 15824-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932468832 | Joseph D Spencer | Pharmacist | 1365 Main St, Brockway, PA 15824-1635 | 2012-05-11 |
| 1164604112 | William Marshall Kolash | Pharmacist | 1365 Main St, Brockway, PA 15824-1635 | 2007-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215903661 | Wendy Susan Bingler | Occupational Therapist | 8726 Route 219, Guardian Rehabilitation Services, Inc., Brockway, PA 15824 | 2006-02-27 |
| 1326314725 | Jack Britten | Dentist | 2200 Main St, Brockway, PA 15824 | 2012-03-29 |
| 1891091740 | Jodi Pierson Neal | Speech-Language Pathologist | 8726 Route 219, Guardian Rehabilitation Services, Inc, Brockway, PA 15824 | 2011-02-09 |
| 1205906617 | Quinn L Lundberg Jr. | Dentist | 409 Main Street, Brockway, PA 15824 | 2006-11-09 |
| 1780041871 | Angela D Snyder | Speech-Language Pathologist | 90 Main St, Brockway, PA 15824-1038 | 2016-01-21 |
| 1205183597 | Judith T Himes | Physical Therapist | 90 Main St, Brockway, PA 15824-1038 | 2012-08-06 |
| 1144513995 | Danielle Nicole Rhodes | Speech-Language Pathologist | 90 Main St, Brockway, PA 15824-1038 | 2011-05-25 |
| 1588983274 | Jessica M Schuckers | Occupational Therapist | 90 Main St, Brockway, PA 15824-1038 | 2010-05-20 |
| 1396946489 | Guardian Elder Care At Brockway LLC | Skilled Nursing Facility | 90 Main St, Brockway, PA 15824-1038 | 2007-05-29 |
| 1710988001 | Wrc Highland View Health Care | Skilled Nursing Facility | 90 Main St, Brockway, PA 15824-1038 | 2005-08-09 |
| Find all providers in zip 15824 | ||||
| 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 |
|---|---|---|---|---|
| 1265463335 | Hometown Drug LLC | Pharmacy | 411 Main St, Brockway, PA 15824-1324 | 2006-07-06 |
| 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.