GEISINGER WYOMING VALLEY MEDICAL CENTER (NPI# 1487683348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487683348 |
| Entity Type | Organization |
| Organization Name | GEISINGER WYOMING VALLEY MEDICAL CENTER |
| Other Organization Name | GEISINGER PHARMACY |
| Practice Address |
1000 E Mountain Dr Wilkes Barre PA 18711-0027 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-2575 |
| Practice Telephone | 5708087969 |
| Practice Fax Number | 5708086157 |
| Mailing Telephone | 5702717965 |
| Mailing Fax Number | 5702717370 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | MICHAEL A EVANS (VP ENTERPRISE PHARMACY) |
| Authorized Official Telephone | 5702716192 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP413841L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2126055 | 01 | |
| PA | 1007535151275 | 05 |
| Other Name | Type Code |
|---|---|
| CareSite Pharmacy | Doing Business As Name - Organization |
| Geisinger Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770953994 | Geisinger Wyoming Valley Medical Center | General Acute Care Hospital | 35 South Mountain Blvd, Mountain Top, PA 18707 | 2015-09-30 |
| 1104292960 | Geisinger Wyoming Valley Medical Center | Radiology | 42 North Main St, Pittston, PA 18640 | 2015-08-17 |
| 1205197894 | Geisinger Wyoming Valley Medical Center | Durable Medical Equipment & Medical Supplies | 1175 East Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2012-05-31 |
| 1447538640 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 620 Baltimore Dr, Wilkes Barre, PA 18702-7959 | 2011-07-22 |
| 1093001653 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 270 S River St, Plains, PA 18705-1191 | 2011-06-22 |
| 1942769393 | Geisinger Wyoming Valley Medical Center | Pharmacy | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2019-03-15 |
| 1437551868 | Geisinger Wyoming Valley Medical Center | Durable Medical Equipment & Medical Supplies | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2014-09-17 |
| 1649568403 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | 2011-07-14 |
| 1881980803 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2011-06-28 |
| 1669768214 | Geisinger Wyoming Valley Medical Center | Clinic/Center | 110 Trieble Rd, Tunkhannock, PA 18657-3816 | 2011-06-22 |
| Street Address |
1000 E MOUNTAIN DR |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711-0027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077185 | Martha A. Danon | Radiology | 1000 E Mountain Dr, Wilkes Barre, PA 18711 | 2005-07-18 |
| 1336759984 | Deanne Angela Walters | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-08-07 |
| 1982213062 | Erin Leigh Dougherty | Physician Assistant | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-07-24 |
| 1013525179 | Chelsea Lynn Lopatka | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0001 | 2020-07-15 |
| 1467060483 | Preston Benjamin Setzer | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-07-15 |
| 1295382554 | Carol Teets | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2019-08-21 |
| 1417501941 | Krushna Shah | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2019-08-01 |
| 1790269660 | Samantha Marie Weiksner | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2018-09-18 |
| 1356825244 | Michelle Jeanne Butcher | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2018-09-18 |
| 1467932863 | Arthur Jankowski | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2018-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| 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 |
|---|---|---|---|---|
| 1053423061 | P B Hillban LLC | Pharmacy | 100 Hazle St, Wilkes Barre, PA 18702-4365 | 2006-08-31 |
| 1871638221 | Wilkes Barre Behavioral Hospital Company LLC | Pharmacy | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2007-02-21 |
| 1457455297 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 351 S Main St, Wilkes Barre, PA 18701-2201 | 2006-09-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
Please comment or provide details below to improve the information on GEISINGER WYOMING VALLEY MEDICAL CENTER.
| 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.