MILLCREEK MANOR PHARMACY


Address: 5535 Peach St, Erie, PA 16509-2603
Phone: 8148683869

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PK 2151152 01

Other Provider/Organization Names

Other Name Type Code
LECOM Senior Living Center Pharmacy Doing Business As Name - Organization

Office Location

Street Address 5535 PEACH ST
City ERIE
State PA
Zip Code 16509-2603

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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Competitor

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City ERIE
Zip Code 16509

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Dataset Information

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.

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