ST MARY MEDICAL CENTER (NPI# 1750683504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750683504 |
| Entity Type | Organization |
| Organization Name | ST MARY MEDICAL CENTER |
| Other Organization Name | ST. CLARE PHARMACY |
| Practice Address |
1203 Langhorne Newtown Rd Langhorne PA 19047-1209 |
| Practice Telephone | 2157107427 |
| Practice Fax Number | 2157107434 |
| Mailing Telephone | 2157107427 |
| Mailing Fax Number | 2157107434 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | HENRY TRUMBO (MANAGER) |
| Authorized Official Telephone | 2157107427 |
| Authorized Official Credential | PHARMD |
| 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 |
PP481911 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2127808 | 01 |
| Other Name | Type Code |
|---|---|
| St. Clare Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801215587 | St Mary Medical Center | General Acute Care Hospital | 1201 Newtown-langhorne Road, Langhorne, PA 19047 | 2014-04-10 |
| 1922246545 | St Mary Medical Center | General Acute Care Hospital | 500 Hilbrich Dr, Schererville, IN 46375-4300 | 2009-02-04 |
| 1083622286 | St Mary Medical Center | Pediatrics | 2546 Knights Rd, Bensalem, PA 19020 | 2006-08-03 |
| 1225072176 | St Mary Medical Center | Home Health | 3405 N Seminary St, Galesburg, IL 61401-1251 | 2006-06-15 |
| 1780686931 | St Mary Medical Center | Rehabilitation Unit | 1201 Langhorne-newtown Rd, Langhorne, PA 19047-1295 | 2005-06-01 |
| 1710470323 | St Mary Medical Center | Internal Medicine | 2546b Knights Rd, Bensalem, PA 19020 | 2018-06-08 |
| 1255743183 | St Mary Medical Center | General Acute Care Hospital | 1201 Newtown-langhorne Road, Langhorne, PA 19047 | 2014-05-27 |
| 1922439785 | St Mary Medical Center | Anesthesiology | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2013-12-04 |
| 1437425741 | St Mary Medical Center | General Acute Care Hospital | 1201 Langhorne Newtown Rd, Langhorne, PA 19047-1201 | 2012-03-30 |
| 1457629974 | St Mary Medical Center | General Acute Care Hospital | 1050 Linden Ave, Long Beach, CA 90813-3321 | 2011-12-12 |
| Street Address |
1203 LANGHORNE NEWTOWN RD |
| City | LANGHORNE |
| State | PA |
| Zip Code | 19047-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216443 | David S Tannenbaum | Obstetrics & Gynecology | 1203 Langhorne Newtown Rd, #225, St Clair Bldg, Langhorne, PA 19047-1237 | 2005-06-22 |
| 1881176881 | Brittany Baron | Nurse Practitioner | 1203 Langhorne Newtown Rd, Langhorne, PA 19047-1209 | 2018-09-05 |
| 1689028052 | Mercer Bucks Orthopaedics, P.C. | Durable Medical Equipment & Medical Supplies | 1203 Langhorne Newtown Rd, Suite 220, Langhorne, PA 19047-1209 | 2016-04-21 |
| 1215301023 | Maureen Gallagher | Nurse Practitioner | 1203 Langhorne Newtown Rd, Suite 125, Langhorne, PA 19047-1209 | 2015-11-17 |
| 1326435645 | Nicole Haslett | Obstetrics & Gynecology | 1203 Langhorne Newtown Rd, Langhorne, PA 19047-1209 | 2015-04-24 |
| 1306233895 | Langhorne Physician Services | Obstetrics & Gynecology | 1203 Langhorne Newtown Rd, Suite 238, Langhorne, PA 19047 | 2015-04-22 |
| 1477960144 | Patricia Ann Kennedy | Nurse Practitioner | 1203 Langhorne Newtown Rd, #225, Langhorne, PA 19047-1209 | 2014-07-15 |
| 1912322025 | Stephen Gunnells | Physical Therapy Assistant | 1203 Langhorne Newtown Rd, Suite 220, Langhorne, PA 19047-1209 | 2014-02-26 |
| 1326307117 | Ekata H Rushi | Physician Assistant | 1203 Langhorne Newtown Rd, Suite 138, Langhorne, PA 19047-1209 | 2012-05-14 |
| 1508139643 | Soni Eye Associates, LLC | Ophthalmology | 1203 Langhorne Newtown Rd, Suite 228, Langhorne, PA 19047-1209 | 2012-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799733 | Traci Anne Lordan | Counselor | 1717 Newtown-langhorne Rd Suite 304, Langhorne, PA 19047 | 2020-10-29 |
| 1407475973 | Midiia Shuman | Student in an Organized Health Care Education/Training Program | 1201 Langhorne Newtown Rd., St. Mary Medical Center, Langhorne, PA 19047 | 2020-04-14 |
| 1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
| 1487211173 | Avantika Gul Israni | Student in an Organized Health Care Education/Training Program | 1201 Langhorne-newtown Road, St. Mary Medical Center, Langhorne, PA 19047 | 2019-05-29 |
| 1861955155 | Jordesha Mariska Hodge | Student in an Organized Health Care Education/Training Program | 1201 Langhorne - Newton Rd., Langhorne, PA 19047 | 2019-04-12 |
| 1932673456 | Kenneth Nagy | Physical Therapy Assistant | 310 E Winchester Ave, Langhorne, PA 19047 | 2019-01-17 |
| 1104398635 | Woods Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Allgair Cottage, 96 Oakwood Doive, Langhorne, PA 19047 | 2018-12-21 |
| 1356819411 | Mitchell Perry | Physician Assistant | 1203 Newtown-langhorne Rd, #220, Langhorne, PA 19047 | 2018-11-07 |
| 1609353291 | Eye and Facial Plastic Surgery Consultants LLC | Ophthalmology | 1203 Newtown-langhorne Road, Suite 120, Langhorne, PA 19047 | 2018-07-26 |
| 1760969992 | Your Orthodontist | Dentist | 586 Middletown Blvd Ste C10, Langhorne, PA 19047 | 2018-07-20 |
| Find all providers in zip 19047 | ||||
| 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 |
|---|---|---|---|---|
| 1447437934 | Adishwar LLC | Pharmacy | 172 N Pine St, Langhorne, PA 19047-2141 | 2008-01-28 |
| 1275718736 | Ab & At LLC | Pharmacy | 240 Middletown Blvd, Langhorne, PA 19047-1832 | 2008-01-03 |
| 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 | ||||
Please comment or provide details below to improve the information on ST MARY 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.