GUARDIAN HEALTHCARE PHARMACY, LLC


Address: 123 Brubaker Rd, Brockway, PA 15824-2505
Phone: 8885037474

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OH 02163160000014708 05
PA 1015064750001 05
PK 2087733 01

Other Provider/Organization Names

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

Office Location

Street Address 123 BRUBAKER RD
City BROCKWAY
State PA
Zip Code 15824-2505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376762286 Jennifer Urso Pharmacist 123 Brubaker Rd, Brockway, PA 15824-2505 2007-04-25

Providers in the same zip code

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 Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245830421 Op Pharmacy LLC Pharmacy 7000 Stonewood Dr Ste 230, Wexford, PA 15090-7376 2020-10-28
1225654957 Lins Group LLC Pharmacy 1500 Uhler Rd Ste 103, Easton, PA 18040-6682 2020-06-18
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
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Competitor

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City BROCKWAY
Zip Code 15824

Improve Information

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Dataset Information

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.

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