MILLCREEK MANOR PHARMACY (NPI# 1114393790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114393790 |
Entity Type | Organization |
Organization Name | MILLCREEK MANOR PHARMACY |
Other Organization Name | LECOM SENIOR LIVING CENTER PHARMACY |
Practice Address |
5535 Peach St Erie PA 16509-2603 |
Practice Telephone | 8148683869 |
Practice Fax Number | 8148683405 |
Mailing Telephone | 8148683869 |
Mailing Fax Number | 8148683405 |
Enumeration Date | 2015-08-18 |
Last Update Date | 2015-08-18 |
Authorized Official Name | JAIME BABIAK (DIRECTOR OF PHARMACY) |
Authorized Official Telephone | 8148683880 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PP482569 | PA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2151152 | 01 |
Other Name | Type Code |
---|---|
LECOM Senior Living Center Pharmacy | Doing Business As Name - Organization |
Street Address |
5535 PEACH ST |
City | ERIE |
State | PA |
Zip Code | 16509-2603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033172762 | Jean M Storm | Internal Medicine | 5535 Peach St, Erie, PA 16509-2603 | 2006-04-12 |
1346848298 | Millcreek Manor | Clinical Medical Laboratory | 5535 Peach St, Erie, PA 16509-2603 | 2020-10-13 |
1588272884 | Millcreek Manor | Pharmacy | 5535 Peach St, Erie, PA 16509-2603 | 2020-07-22 |
1871110981 | Christina Schuler | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2020-07-06 |
1750908166 | Elizabeth Ann Johnson | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2020-07-01 |
1609341700 | Thomas Michael Weindorf | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2018-10-04 |
1245752385 | Brandon Michael Sing | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2017-07-11 |
1447793625 | Jacob Charles Reaser | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2016-11-21 |
1689024598 | Seth Hintze Carter | Family Medicine | 5535 Peach St, Erie, PA 16509-2603 | 2016-06-21 |
1174936504 | Gianpiero Martone | Psychiatry & Neurology | 5535 Peach St, Erie, PA 16509-2603 | 2014-06-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
Find all providers in zip 16509 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
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 |
---|---|---|---|---|
1659918894 | Beatties Community Pharmacy LLC | Pharmacy | 3140 Village Vista Dr Unit 100, Erie, CO 80516-2529 | 2019-12-06 |
1093291023 | Passavant Development Corporation | Pharmacy | 1611 Peach St Ste 400, Erie, PA 16501 | 2018-07-12 |
1568707149 | Genoa Healthcare, LLC | Pharmacy | 1330 W 26th St, Erie, PA 16508-1402 | 2012-12-07 |
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1245830421 | Op Pharmacy LLC | Pharmacy | 7000 Stonewood Dr Ste 230, Wexford, PA 15090-7376 | 2020-10-28 |
1225654957 | Lins Group LLC | Pharmacy | 1500 Uhler Rd Ste 103, Easton, PA 18040-6682 | 2020-06-18 |
1669008306 | Claysville Pharmacy, LLC | Pharmacy | 575 Henderson Ave, Washington, PA 15301-1901 | 2020-03-13 |
1245861079 | Giant Eagle, Inc. | Pharmacy | 6204 State Route 30 Ste A, Greensburg, PA 15601-6399 | 2020-01-30 |
1730719147 | Millers Pharmacy Inc | Pharmacy | 41857 Us Rt 6, Farm & Home Plaza, Wyalusing, PA 18853 | 2020-01-24 |
1083269310 | Rp-prn Inc | Pharmacy | 503 Railroad Ave Ste 2, Patton, PA 16668-1342 | 2019-08-05 |
1417513292 | Superior Care Pharmacy Inc | Pharmacy | 518 Burke Byp, Olyphant, PA 18447-1805 | 2019-05-16 |
1053871806 | Gdd Pharmacy Services, Inc. | Pharmacy | 2025 Technology Pkwy Ste G04, Mechanicsburg, PA 17050-9400 | 2019-03-20 |
1497235196 | Minnich's Pharmacy Inc | Pharmacy | 974 S George St, York, PA 17403-3708 | 2018-08-21 |
1194204859 | Johnson's Pharmaceutical Services Inc | Pharmacy | 1400 Proline Pl Ste 800, Gettysburg, PA 17325-9401 | 2018-08-13 |
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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.