BENTLEYVILLE MEDICINE SHOPPE INC NPI 1497214670

NPI Information

NPI: 1497214670
Provider Name: BENTLEYVILLE MEDICINE SHOPPE INC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
808 MAIN ST
BENTLEYVILLE, PA
ZIP 15314
Phone: (724) 239-3600
Get Directions

BENTLEYVILLE MEDICINE SHOPPE INC is a long term care pharmacy pharmacy in Bentleyville, PA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. BENTLEYVILLE MEDICINE SHOPPE INC NPI is 1497214670. The provider is registered as an organization entity type.

The provider's business location address is:

808 MAIN ST
BENTLEYVILLE, PA
ZIP 15314-214
Phone: (724) 239-3600

The provider's authorized official is John David Crumrine .
The authorized official title is President and has the following contact phone number (724) 239-3600.

The enumeration date for this NPI number is 3/18/2019 and was last updated on 3/18/2019.

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
1	3336L0003X	Pharmacy	Long Term Care Pharmacy			Yes

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
1	102979960001	MEDICAID	PENNSYLVANIA

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

NPI Synchronization or Removal

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