DEBALKO'S PHARMACY INC (NPI# 1134179435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134179435 |
| Entity Type | Organization |
| Organization Name | DEBALKO'S PHARMACY INC |
| Other Organization Name | DEBALKO'S STANDARD DRUG |
| Practice Address |
322 S Hancock St Mcadoo PA 18237-1608 |
| Practice Telephone | 5709291130 |
| Practice Fax Number | 5709291208 |
| Mailing Telephone | 5709291130 |
| Mailing Fax Number | 5709291208 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-05-07 |
| Authorized Official Name | DR. JOHN NICHOLAS DEBALKO (PRESIDENT) |
| Authorized Official Telephone | 5709292028 |
| Authorized Official Credential | RPH, PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
PP412373L | PA | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PP412373L | PA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PP412373L | PA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP412373L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD IV | 237105 | 01 |
| PA | NEPA BC IV PROVIDER | 996009 | 01 |
| PA | DEA REGISTRATION | BS0114619 | 01 |
| PA | 001017817 | 05 | |
| PA | CAPITAL BLUE CROSS IV | 39HI25 | 01 |
| PA | IST PRIORITY IV PROVIDER | 075861 | 01 |
| PA | CAPITAL BLUE CROSS DME | 39HA85 | 01 |
| PA | PHARMACY LICENSE NUMBER | PP412373L | 01 |
| Other Name | Type Code |
|---|---|
| DeBalko's Standard Drug | Other Name - Individual/Organization |
| Street Address |
322 S HANCOCK ST |
| City | MCADOO |
| State | PA |
| Zip Code | 18237-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216831 | Adam C Welch | Pharmacist | 322 S Hancock St, Mcadoo, PA 18237-1608 | 2005-06-26 |
| 1942359575 | Michelle Albano Debalko | Pharmacist | 322 S Hancock St, Mcadoo, PA 18237-1608 | 2007-01-10 |
| 1063465383 | Debalkos Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 322 S Hancock St, Mcadoo, PA 18237-1608 | 2006-05-18 |
| 1407853476 | Frances E Jones | Pharmacist | 322 S Hancock St, Mcadoo, PA 18237-1608 | 2005-07-05 |
| 1326045758 | Lynda J Reimiller | Pharmacist | 322 S Hancock St, Mcadoo, PA 18237-1608 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952640633 | Jennifer Lynn Lucash | Occupational Therapy Assistant | 31 S Logan St, Mcadoo, PA 18237-1113 | 2013-01-31 |
| 1942304431 | More Mobililty, Inc. | Durable Medical Equipment & Medical Supplies | 333 W Blaine St, Mcadoo, PA 18237-1216 | 2006-09-12 |
| 1003931452 | Mobility Distributing, Inc. | Durable Medical Equipment & Medical Supplies | 333 W Blaine St, Mcadoo, PA 18237-1216 | 2007-03-21 |
| 1366449936 | John Nicholas Debalko | Pharmacist | 500 S Cleveland St, Mcadoo, PA 18237-1741 | 2005-06-28 |
| 1437132347 | Mcadoo Fire Company Ambulance Association, Inc | Ambulance | 34 S Kennedy Dr, Mcadoo, PA 18237-1806 | 2005-11-23 |
| 1720305907 | Carbon Schuylkill Community Hospital, Inc. | Family Medicine | 14 N. Kennedy Dr., Mcadoo, PA 18237-1908 | 2010-04-27 |
| 1518186378 | Andrea Ulshafer | Physician Assistant | 14 N Kennedy Dr, Mcadoo, PA 18237-1908 | 2007-04-24 |
| 1558693739 | Carbon-schuylkill Community Hospital, Inc. | Clinic/Center | 14 N Kennedy Dr, Mcadoo, PA 18237-1908 | 2010-02-12 |
| 1629415138 | Melia Felicione | Licensed Practical Nurse | 121 E Jackson St, Mcadoo, PA 18237-2018 | 2013-05-24 |
| 1538790720 | Mission Autism Clinics LLC | Clinic/Center | 9 Banks Ave, Mcadoo, PA 18237-2508 | 2020-01-28 |
| Find all providers in zip 18237 | ||||
| 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] |
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| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
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| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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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.