Provider Demographics
NPI:1275698698
Name:NORBET INC
Entity Type:Organization
Organization Name:NORBET INC
Other - Org Name:ERNIES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNICK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:724-643-8380
Mailing Address - Street 1:653 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:PA
Mailing Address - Zip Code:15059-1409
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:653 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:PA
Practice Address - Zip Code:15059-1409
Practice Address - Country:US
Practice Address - Phone:724-643-8380
Practice Address - Fax:724-643-8071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP410698L333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0843772Medicaid
3904910OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0134510001Medicare ID - Type Unspecified