Provider Demographics
NPI:1285796433
Name:ROPAT INCORPORATED
Entity type:Organization
Organization Name:ROPAT INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:AMITY
Authorized Official - Suffix:SR
Authorized Official - Credentials:RPH
Authorized Official - Phone:814-266-9602
Mailing Address - Street 1:1111 SCALP AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3036
Mailing Address - Country:US
Mailing Address - Phone:814-266-9602
Mailing Address - Fax:814-266-6801
Practice Address - Street 1:1111 SCALP AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3036
Practice Address - Country:US
Practice Address - Phone:814-266-9602
Practice Address - Fax:814-266-6801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP413624L332B00000X, 333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1030916830001Medicaid
PAPP413624LOtherPHARMACY PERMIT NUMBER
3946158OtherNCPDP
PA5169820001Medicare NSC