Provider Demographics
NPI:1831293893
Name:NORTH HUNTINGDON MEDICAL INC
Entity Type:Organization
Organization Name:NORTH HUNTINGDON MEDICAL INC
Other - Org Name:ACCUSERV PHARMACY-NH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEFFLER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:412-417-9861
Mailing Address - Street 1:8731 ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-3241
Mailing Address - Country:US
Mailing Address - Phone:724-978-0110
Mailing Address - Fax:724-978-0089
Practice Address - Street 1:8731 ROUTE 30
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-3241
Practice Address - Country:US
Practice Address - Phone:724-978-0110
Practice Address - Fax:724-978-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336S0011X
PAPP4814593336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013495330001Medicaid
2087212OtherPK
5441290001Medicare NSC