ROBERT PACKER HOSPITAL (NPI# 1104847169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104847169 |
| Entity Type | Organization |
| Organization Name | ROBERT PACKER HOSPITAL |
| Other Organization Name | CLINIC PHARMACY |
| Practice Address |
1 Guthrie Sq Suite Ec101 Sayre PA 18840-1625 |
| Practice Telephone | 5708872800 |
| Practice Fax Number | 5708872827 |
| Mailing Telephone | 5708872800 |
| Mailing Fax Number | 5708872827 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | JENNIFER SHAY (OPERATIONS MANAGER) |
| Authorized Official Telephone | 5708872816 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP413232L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE PTAN | 1161970002 | 01 |
| PA | 1007706140042 | 05 | |
| PK | 2082808 | 01 |
| Other Name | Type Code |
|---|---|
| CLINIC PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366650 | Robert Packer Hospital | Clinic/Center | 91 Hospital Dr, Towanda, PA 18848-9702 | 2020-11-05 |
| 1568063782 | Robert Packer Hospital | General Acute Care Hospital | 91 Hospital Dr, Towanda, PA 18848-9702 | 2020-11-04 |
| 1134734528 | Robert Packer Hospital | General Acute Care Hospital | 91 Hospital Dr, Towanda, PA 18848-9702 | 2020-09-11 |
| 1508471996 | Robert Packer Hospital | Skilled Nursing Facility | 91 Hospital Dr, Towanda, PA 18848-9702 | 2020-09-11 |
| 1154500528 | Robert Packer Hospital | Emergency Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2007-11-01 |
| 1881873255 | Robert Packer Hospital | Psychiatry & Neurology | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2007-11-01 |
| 1306998489 | Robert Packer Hospital | Clinic/Center | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2007-01-17 |
| 1598826877 | Robert Packer Hospital | Clinic/Center | 1 Guthrie Square, Sayre, PA 18840-1625 | 2006-12-12 |
| 1083614382 | Robert Packer Hospital | General Acute Care Hospital | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2005-07-28 |
| 1356341523 | Robert Packer Hospital | Psychiatric Unit | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2005-07-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ROBERT PACKER HOSPITAL | The Robert Packer, Hospital, Sayre, Pennsylvania |
| Street Address |
1 GUTHRIE SQ SUITE EC101 |
| City | SAYRE |
| State | PA |
| Zip Code | 18840-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294808 | Patricia Ann Fogelman | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840 | 2005-06-08 |
| 1639778194 | Heather Lynn Walker | Registered Nurse | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-10-25 |
| 1033724380 | Stacy Ann Miller | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-09-14 |
| 1033727466 | Abigail Rose Link | Physician Assistant | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-07-22 |
| 1811505035 | Rebecca Ann Satterly | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-07-14 |
| 1417574088 | Patricia Anne Hui | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-30 |
| 1477177277 | Sneha Prabhashankar Singh | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-08 |
| 1346864113 | Shista Priyadarshini | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-08 |
| 1225652175 | Balkishan Jagadishbhai Malviya | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-05 |
| 1003430034 | Premjeet Singh Dhillon | Internal Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434497 | Priyanka Bhardwaj | Student in an Organized Health Care Education/Training Program | One Guthrie Square - Family Medicine Residency - Robert, Sayre, PA 18840 | 2020-07-22 |
| 1669099362 | Tanya Gupta | Student in an Organized Health Care Education/Training Program | 1 Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2020-06-29 |
| 1477170330 | Unknown Manas | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Internal Medicine Residency, Guthri, Sayre, PA 18840 | 2020-06-26 |
| 1891311601 | Oneeb Sanaullah | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Sayre, Guthrie/robert Packer Hospit, Sayre, PA 18840 | 2020-06-18 |
| 1801455142 | Rachel Anne Hart | Student in an Organized Health Care Education/Training Program | General Surgery Residency Guthrie/robert Packer Hospita, Sayre, PA 18840 | 2019-06-11 |
| 1073178315 | Anam Aqeel | Student in an Organized Health Care Education/Training Program | One Guthrie Square Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-05-02 |
| 1548823156 | Seokjae John Bahng | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-04-18 |
| 1811550890 | Najma Nawaz | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Guthrie/robert Packer Hospi, Sayre, PA 18840 | 2019-04-16 |
| 1043701592 | Aisha Khaliq | Internal Medicine | One Guthrie Square Internal Medicine Residency/robert P, Sayre, PA 18840 | 2018-05-21 |
| 1194220822 | Tianyu Shang | Student in an Organized Health Care Education/Training Program | Guthrie/ Robert Packer Hospital, One Guthrie Square, Sayre, PA 18840 | 2018-03-26 |
| Find all providers in zip 18840 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235215807 | Sam Thornbrough | Pharmacy | 1601 Watts St, Sayre, OK 73662-1314 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.