GUARDIAN LONG TERM CARE PHARMACY INC (NPI# 1285768994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285768994 |
| Entity Type | Organization |
| Organization Name | GUARDIAN LONG TERM CARE PHARMACY INC |
| Practice Address |
147 Old Newport St Ste 1 Nanticoke PA 18634-1327 |
| Mailing Address |
123 Brubaker Rd Brockway PA 15824-2505 |
| Practice Telephone | 5708120300 |
| Practice Fax Number | 5708120030 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-12-21 |
| Authorized Official Name | BRIAN RENDOS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8145037400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP481661 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3988079 | 01 | |
| PA | 1015064750002 | 05 | |
| OTHER ID NUMBER | 3988079 | 01 |
| Street Address |
147 OLD NEWPORT ST STE 1 |
| City | NANTICOKE |
| State | PA |
| Zip Code | 18634-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275581779 | Guardian Elder Care At Nanticoke LLC | Skilled Nursing Facility | 147 Old Newport St, Nanticoke, PA 18634-1327 | 2006-05-05 |
| 1326604042 | Abby Marie Lewis | Occupational Therapy Assistant | 147 Old Newport St, Nanticoke, PA 18634-1327 | 2019-05-17 |
| 1316403009 | Jenna Mundenar | Physical Therapy Assistant | 147 Old Newport St, Nanticoke, PA 18634-1327 | 2019-02-18 |
| 1851820682 | Kathleena Patrice Gerrity | Speech-Language Pathologist | 147 Old Newport St, Nanticoke, PA 18634-1327 | 2017-06-06 |
| 1659813103 | Kara Yozwiak | Occupational Therapist | 147 Old Newport St, Nanticoke, PA 18634-1327 | 2016-11-15 |
| 1144762824 | Amanda Casem | Occupational Therapist | 147 Old Newport St, Nanticoke, PA 18634-1327 | 2016-11-10 |
| 1669829073 | Ashlee Ward | Specialist | 147 Old Newport St, Nanticoke, PA 18634-1327 | 2016-05-17 |
| 1104291012 | Robert Volpicelli | Physical Therapist | 147 Old Newport St, Nanticoke, PA 18634-1327 | 2015-12-02 |
| 1003212960 | Kathleen Kugler | Speech-Language Pathologist | 147 Old Newport St, Nanticoke, PA 18634-1327 | 2014-11-05 |
| 1194128868 | Guardian Home & Community Services, Inc. | Home Health | 147 Old Newport St, Nanticoke, PA 18634-1327 | 2014-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992707 | Pamela Ann Serratore | Pharmacist | 1 Weis Plaza, Nanticoke, PA 18634 | 2018-11-27 |
| 1225510662 | Amanda Marie Yurko | Counselor | 121 South Prospect St, Nanticoke, PA 18634 | 2018-09-01 |
| 1972055846 | Jeffrey T. Swanberry | Pharmacist | 69 North Market St., Medicine Shoppe, Nanticoke, PA 18634 | 2016-10-26 |
| 1881072999 | Northeast Counseling Services | Clinic/Center | 24-26 East Broad St., Nanticoke, PA 18634 | 2015-05-08 |
| 1861895534 | Kathleen Ann Smith | Pharmacist | 243 S. Prospect St., Nanticoke, PA 18634 | 2014-10-08 |
| 1013128032 | Geisinger Clinic | Physician Assistant | 6 West Green St, Nanticoke, PA 18634 | 2007-05-24 |
| 1356462105 | Northeast Community Crisis Unit | Clinic/Center | 126 N. Washington Street, Nanticoke, PA 18634 | 2007-04-02 |
| 1902946429 | Northeast Counseling Services | Clinic/Center | 24-26 E Broad St, Nanticoke, PA 18634 | 2007-02-07 |
| 1770684276 | Daniel A Walting II | Dentist | 603 Hanover St, Nanticoke, PA 18634 | 2006-09-26 |
| 1083663629 | David Arthur Evans | Optometrist | 245 S Prospect Street, Nanticoke, PA 18634 | 2006-05-10 |
| Find all providers in zip 18634 | ||||
| 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] |
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| 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 |
| Find all providers with the same taxonomy | ||||
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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.