GUARDIAN HEALTHCARE PHARMACY, LLC (NPI# 1316952948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316952948 |
Entity Type | Organization |
Organization Name | GUARDIAN HEALTHCARE PHARMACY, LLC |
Other Organization Name | GUARDIAN LONG TERM CARE PHARMACY, INC |
Practice Address |
123 Brubaker Rd Brockway PA 15824-2505 |
Practice Telephone | 8885037474 |
Practice Fax Number | 8773715677 |
Mailing Telephone | 8885037474 |
Mailing Fax Number | 8773715677 |
Enumeration Date | 2006-07-30 |
Last Update Date | 2019-11-14 |
Authorized Official Name | MATTHEW J VARACALLO (PHARMACY MANAGER) |
Authorized Official Telephone | 8885037474 |
Authorized Official Credential | PHARM D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PP481523 | PA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 02163160000014708 | 05 | |
PA | 1015064750001 | 05 | |
PK | 2087733 | 01 |
Other Name | Type Code |
---|---|
GUARDIAN HEALTHCARE PHARMACY | Other Name - Individual/Organization |
GUARDIAN HEALTHCARE PHARMACY, LLC | Doing Business As Name - Organization |
GUARDIAN LONG TERM CARE PHARMACY INC | Doing Business As Name - Organization |
GUARDIAN LONG TERM CARE PHARMACY, INC | Former Legal Business Name - Organization |
Street Address |
123 BRUBAKER RD |
City | BROCKWAY |
State | PA |
Zip Code | 15824-2505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376762286 | Jennifer Urso | Pharmacist | 123 Brubaker Rd, Brockway, PA 15824-2505 | 2007-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215903661 | Wendy Susan Bingler | Occupational Therapist | 8726 Route 219, Guardian Rehabilitation Services, Inc., Brockway, PA 15824 | 2006-02-27 |
1326314725 | Jack Britten | Dentist | 2200 Main St, Brockway, PA 15824 | 2012-03-29 |
1891091740 | Jodi Pierson Neal | Speech-Language Pathologist | 8726 Route 219, Guardian Rehabilitation Services, Inc, Brockway, PA 15824 | 2011-02-09 |
1205906617 | Quinn L Lundberg Jr. | Dentist | 409 Main Street, Brockway, PA 15824 | 2006-11-09 |
1780041871 | Angela D Snyder | Speech-Language Pathologist | 90 Main St, Brockway, PA 15824-1038 | 2016-01-21 |
1205183597 | Judith T Himes | Physical Therapist | 90 Main St, Brockway, PA 15824-1038 | 2012-08-06 |
1144513995 | Danielle Nicole Rhodes | Speech-Language Pathologist | 90 Main St, Brockway, PA 15824-1038 | 2011-05-25 |
1588983274 | Jessica M Schuckers | Occupational Therapist | 90 Main St, Brockway, PA 15824-1038 | 2010-05-20 |
1396946489 | Guardian Elder Care At Brockway LLC | Skilled Nursing Facility | 90 Main St, Brockway, PA 15824-1038 | 2007-05-29 |
1710988001 | Wrc Highland View Health Care | Skilled Nursing Facility | 90 Main St, Brockway, PA 15824-1038 | 2005-08-09 |
Find all providers in zip 15824 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
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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1669008306 | Claysville Pharmacy, LLC | Pharmacy | 575 Henderson Ave, Washington, PA 15301-1901 | 2020-03-13 |
1245861079 | Giant Eagle, Inc. | Pharmacy | 6204 State Route 30 Ste A, Greensburg, PA 15601-6399 | 2020-01-30 |
1730719147 | Millers Pharmacy Inc | Pharmacy | 41857 Us Rt 6, Farm & Home Plaza, Wyalusing, PA 18853 | 2020-01-24 |
1083269310 | Rp-prn Inc | Pharmacy | 503 Railroad Ave Ste 2, Patton, PA 16668-1342 | 2019-08-05 |
1417513292 | Superior Care Pharmacy Inc | Pharmacy | 518 Burke Byp, Olyphant, PA 18447-1805 | 2019-05-16 |
1053871806 | Gdd Pharmacy Services, Inc. | Pharmacy | 2025 Technology Pkwy Ste G04, Mechanicsburg, PA 17050-9400 | 2019-03-20 |
1497235196 | Minnich's Pharmacy Inc | Pharmacy | 974 S George St, York, PA 17403-3708 | 2018-08-21 |
1194204859 | Johnson's Pharmaceutical Services Inc | Pharmacy | 1400 Proline Pl Ste 800, Gettysburg, PA 17325-9401 | 2018-08-13 |
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.