PA DEPTMENT OF PUBLIC WELFARE (NPI# 1023268323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023268323 |
| Entity Type | Organization |
| Organization Name | PA DEPTMENT OF PUBLIC WELFARE |
| Other Organization Name | CLARKS SUMMIT STATE HOSPITAL PHARMACY |
| Practice Address |
1451 Hillside Dr Clarks Summit PA 18411-9504 |
| Practice Telephone | 5703193520 |
| Practice Fax Number | 5703193510 |
| Mailing Telephone | 5703193520 |
| Mailing Fax Number | 5703193510 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2018-03-19 |
| Authorized Official Name | PATTI A. EISNER (ADMINISTRATOR) |
| Authorized Official Telephone | 7177052774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PP481817 | PA | Suppliers |
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
PP481817 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA PHARMACY PERMIT NUMBER | PP481817 | 01 |
| Other Name | Type Code |
|---|---|
| Clarks Summit State Hospital Pharmacy | Doing Business As Name - Organization |
| Street Address |
1451 HILLSIDE DR |
| City | CLARKS SUMMIT |
| State | PA |
| Zip Code | 18411-9504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447233424 | Pennsylvania Department of Human Services | Pharmacy | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2005-11-23 |
| 1538699384 | Michael Hennigan | Nurse Practitioner | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2017-06-14 |
| 1750732566 | Jeffrey Hubert | Pharmacist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2016-06-23 |
| 1194161398 | Susan Nardella | Psychologist | 1451 Hillside Dr, Clarks Summit State Hospital - Psychology Department, Clarks Summit, PA 18411-9504 | 2013-05-14 |
| 1003165549 | Christie Sworen | Psychologist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2012-08-30 |
| 1407985609 | David Bengt Nesbit | Psychiatry & Neurology | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-03-05 |
| 1760519250 | Yao C Wang | Specialist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-02-28 |
| 1023144813 | Susan C Lee | Specialist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-02-26 |
| 1568598381 | Peter Paul Cupple | Specialist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-02-26 |
| 1699816496 | Alan Robert Benson | Psychologist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228153 | Hayley Nicole Zelinka | Physical Therapist | 1000 Edella Road, South Abington, PA 18411 | 2020-02-26 |
| 1023657269 | Erica Lynn Bednarz | Physical Therapist | 1001 Scenic Drive, Clarks Summit, PA 18411 | 2020-01-06 |
| 1386298842 | Gj-mac Enterprises LLC | In Home Supportive Care | 506 N State Street, Clarks Summit, PA 18411 | 2019-08-01 |
| 1609392117 | Colleen Marie Dougherty | Nurse Practitioner | 1145 Northern Boulevard, South Abington, PA 18411 | 2017-08-16 |
| 1629438312 | Christopher Oyede | Psychiatry & Neurology | 1508 Applewood Acres, South Abington, Clarks Summit, PA 18411 | 2016-02-24 |
| 1194107326 | Russell Zapko | Physical Medicine & Rehabilitation | 100 Edella Road, South Abington, PA 18411 | 2015-06-24 |
| 1952719619 | Geisinger Clinic | Family Medicine | 790 North Blvd, Suite K, Clarks Summit, PA 18411 | 2014-07-25 |
| 1437428182 | Gloria Marie Gigliotti | Behavioral Analyst | 718 South State Street, Caregivers of America, Clsarks Summit, PA 18411 | 2011-12-27 |
| 1790064137 | John D Cacciamani | Internal Medicine | 1345 Glenview Rd., Clarks Summit, PA 18411 | 2011-08-16 |
| 1235372418 | Five Star Quality Care-ghv, LLC | Assisted Living Facility | 950 Morgan Highway, Clarks Summit, PA 18411 | 2009-04-17 |
| Find all providers in zip 18411 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1447233424 | Pennsylvania Department of Human Services | Pharmacy | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249748 | Canonsburg General Hospital | Pharmacy | 100 Medical Blvd Fl 1, Canonsburg, PA 15317-9762 | 2020-09-11 |
| 1891166708 | Pharmscript of Pa LLC | Pharmacy | 200 W Kensinger Dr, Suite 600, Cranberry Township, PA 16066-3428 | 2015-10-19 |
| 1053561480 | Select Rx LLC | Pharmacy | 165 Veterans Cir, Ste 100, Warminster, PA 18974-3529 | 2008-09-23 |
| 1013050681 | Aria Health Pharmacy | Pharmacy | Knights & Red Lion Rd, Philadelphia, PA 19114-1436 | 2007-02-14 |
| 1780752188 | Philadelphia Department of Public Health Center Pharmacy #1 | Pharmacy | 500 S. Broad Street, Pharmacy, Philadelphia, PA 19146 | 2006-12-01 |
| 1316952948 | Guardian Healthcare Pharmacy, LLC | Pharmacy | 123 Brubaker Rd, Brockway, PA 15824-2505 | 2006-07-30 |
| 1790768471 | Pennsylvania Department of Human Services | Pharmacy | 33 Main Dr, North Warren, PA 16365-5001 | 2005-11-28 |
| 1376526111 | Pennsylvania Department of Human Services | Pharmacy | State Route 1014, Torrance, PA 15779-0111 | 2005-11-25 |
| 1457334336 | Pennsylvania Department of Human Services | Pharmacy | 50 Kirkbride Dr, Danville, PA 17821-8630 | 2005-11-23 |
| 1942769393 | Geisinger Wyoming Valley Medical Center | Pharmacy | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2019-03-15 |
| Find all providers with the same taxonomy | ||||
| City | CLARKS SUMMIT |
| Zip Code | 18411 |
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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.