JL SLOCUM LLC NPI 1306212444

NPI Details

JL SLOCUM LLC is a community/retail pharmacy pharmacy in Old Forge, 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. JL SLOCUM LLC NPI is 1306212444. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Old Forge Pharmacy.

The provider's business location address is:

821 S MAIN ST
SUITE 1
OLD FORGE, PA
ZIP 18518-497
Phone: (570) 457-3200
Fax: (570) 457-3220

The provider's authorized official is Lori Ann Slocum .
The authorized official title is Pharmacist and has the following contact phone number (570) 430-1990.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 8/12/2015 and was last updated on 7/12/2016.

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:

Other Identifiers

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