=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982706404
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DANIEL C. KOCHIS AND ASSOCIATES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/04/2006
-----------------------------------------------------
Last Update Date | 02/28/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 619 BROAD AVE
-----------------------------------------------------
City | BELLE VERNON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15012-1510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-929-5445
-----------------------------------------------------
Fax | 724-929-5844
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 619 BROAD AVE
-----------------------------------------------------
City | BELLE VERNON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15012-1510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-929-5445
-----------------------------------------------------
Fax | 724-929-5844
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. DANIEL C. KOCHIS
-----------------------------------------------------
Credential | R.PH.
-----------------------------------------------------
Telephone | 724-929-5445
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 0537180001
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PP412374L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------