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BRACEYS SUPERMARKET INC. NPI 1184728313


NPI Information

NPI: 1184728313
Provider Name: BRACEYS SUPERMARKET INC.

Doing Business As: BILL'S SHOPRITE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
ROUTE 502
DALEVILLE, PA
ZIP 18444
Phone: (570) 842-7848
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BRACEYS SUPERMARKET INC. is a community/retail pharmacy pharmacy in Daleville, PA. The provider is 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. BRACEYS SUPERMARKET INC. NPI is 1184728313. The provider is registered as an organization entity type.
The provider Is Doing Business As Bill's Shoprite Pharmacy.

The provider's business location address is:

ROUTE 502
DALEVILLE, PA
ZIP 18444
Phone: (570) 842-7848
Fax: (570) 842-2435

The provider's authorized official is Melissa Figueroa Rivera .
The authorized official title is Third Party Administrator and has the following contact phone number (732) 521-8439.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 3/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPP415521LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11275560001MEDICARE NSCPENNSYLVANIA
23975743OTHERPENNSYLVANIANCPDP
30017474490001MEDICAIDPENNSYLVANIA
41275560001MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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