CRESTWOOD PHARMACY LLC (NPI# 1588052872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588052872 |
| Entity Type | Organization |
| Organization Name | CRESTWOOD PHARMACY LLC |
| Other Organization Name | CRESTWOOD PHARMACY |
| Practice Address |
10 S Mountain Blvd Mountain Top PA 18707-1123 |
| Practice Telephone | 5704745859 |
| Practice Fax Number | 5704749594 |
| Mailing Telephone | 5704745859 |
| Mailing Fax Number | 5704749594 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2017-04-13 |
| Authorized Official Name | JESSICA ORLOSKI (MEMBER) |
| Authorized Official Telephone | 5704745859 |
| 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 |
PP410503L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1029974200001 | 05 | |
| PK | 2151155 | 01 |
| Other Name | Type Code |
|---|---|
| Crestwood Pharmacy | Doing Business As Name - Organization |
| Street Address |
10 S MOUNTAIN BLVD |
| City | MOUNTAIN TOP |
| State | PA |
| Zip Code | 18707-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003987686 | Crestwood Pharmacy | Pharmacy | 10 S Mountain Blvd, Mountain Top, PA 18707-1123 | 2006-11-13 |
| 1497238505 | Meagan Catherine Bedwick | Pharmacist | 10 S Mountain Blvd, Mountain Top, PA 18707-1199 | 2018-09-13 |
| 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 |
| 1003152190 | Patrick J Connors | Chiropractor | 124 N Mountain Blvd, Mountain Top, PA 18707 | 2012-12-18 |
| 1053674234 | Alexanne Kennedy Conklin | Speech-Language Pathologist | 185 South Mountain Blvd, Mountain Top, PA 18707 | 2012-06-21 |
| 1639440605 | Anne L Cox | Social Worker | 359 S.mountaintop Boulevard, Suite C-2, Mountaintop, PA 18707 | 2012-01-23 |
| 1538445218 | Geisinger Clinic | Pediatrics | 35 S. Mountain Blvd, Mountain Top, PA 18707 | 2011-10-26 |
| 1073665790 | Carmen Ardo | Psychologist | Confidential Counseling, 359 South Mountain Blvd. Suite C-2, Mountaintop, PA 18707 | 2007-01-16 |
| 1396892592 | Maureen Ann Jesikiewicz | Pharmacist | Triangle Pharmay 89 S Main St Mountaintop Pa 18707, Mountaintop, PA 18707 | 2007-01-03 |
| 1467517474 | James Joseph Johns Dds Jr. | Dentist | 151 South Mountain Blvd, Mountain Top, PA 18707 | 2006-12-27 |
| 1467547208 | Penn Neurology and Psychiatry Associates, PC | Psychiatry & Neurology | 10 1/2 South Mountain Boulevard, Mountain Top, PA 18707 | 2006-10-04 |
| 1154438752 | William Dietweiler Ziegler IIi | Dentist | 313 S Mountain Blvd, Mountaintop, PA 18707 | 2006-08-23 |
| Find all providers in zip 18707 | ||||
| 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 |
|---|---|---|---|---|
| 1821299827 | Weis Markets Inc | Pharmacy | 237 S Mountain Blvd, Mountain Top, PA 18707-1911 | 2007-05-29 |
| 1003987686 | Crestwood Pharmacy | Pharmacy | 10 S Mountain Blvd, Mountain Top, PA 18707-1123 | 2006-11-13 |
| 1013069756 | Triangle Pharmacy of Wilkes-barres Pa | Pharmacy | 89 S Main St, Mountain Top, PA 18707-1920 | 2007-01-16 |
| 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 | MOUNTAIN TOP |
| Zip Code | 18707 |
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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.