LINESVILLE PHARMACY INC (NPI# 1609219179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609219179 |
| Entity Type | Organization |
| Organization Name | LINESVILLE PHARMACY INC |
| Other Organization Name | LINESVILLE PHARMACY |
| Practice Address |
123 W Erie St Linesville PA 16424-9227 |
| Mailing Address |
Po Box 395 Kinsman OH 44428-0395 |
| Practice Telephone | 8148180010 |
| Practice Fax Number | 8148180024 |
| Mailing Telephone | 3308760004 |
| Mailing Fax Number | 3308760195 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | BRETTON WALBERG (OWNER) |
| Authorized Official Telephone | 7246122131 |
| 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 |
PP482375 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1029111950001 | 05 | |
| PK | 2138478 | 01 |
| Other Name | Type Code |
|---|---|
| Linesville Pharmacy | Doing Business As Name - Organization |
| Street Address |
123 W ERIE ST |
| City | LINESVILLE |
| State | PA |
| Zip Code | 16424-9227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497837207 | Richard E. Moran | Family Medicine | 1243 Liberty Street, Suite 506, Franklin, PA 16424 | 2006-10-20 |
| 1366453284 | Thomas Fenn Allison | Dentist | 401 West Erie Street, Linesville, PA 16424 | 2006-08-10 |
| 1568001782 | Erin Renee Hruska | Physical Therapist | 16019 Porter Rd, Linesville, PA 16424-1745 | 2020-01-06 |
| 1336574136 | Bethany Yunik | Behavioral Analyst | 8469 Spruce Ln, Espyville, PA 16424-2330 | 2013-09-11 |
| 1396756466 | William B. Yockey | Social Worker | 14513 S Townline Rd, Linesville, PA 16424-5953 | 2006-08-11 |
| 1679921290 | Marissa Johnson | Specialist/Technologist | 7153 Us Highway 6, Linesville, PA 16424-8155 | 2016-05-25 |
| 1528025061 | Conneaut School District | Local Education Agency (LEA) | 219 W School Dr, Linesville, PA 16424-8609 | 2006-04-27 |
| 1164736245 | Upmc Community Medicine Inc | Family Medicine | 109 N Chestnut St, Linesville, PA 16424-9205 | 2010-08-02 |
| 1689747297 | Lisa A Watson | Family Medicine | 109 N Chestnut St, Linesville, PA 16424-9205 | 2006-11-15 |
| 1548243082 | Renato P Ramirez | Internal Medicine | 226 W Erie St, Linesville, PA 16424-9214 | 2005-11-29 |
| Find all providers in zip 16424 | ||||
| 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 |
|---|---|---|---|---|
| 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 | LINESVILLE |
| Zip Code | 16424 |
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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.