MAINLINE PHARMACY EBENSBURG LLC (NPI# 1184993040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184993040 |
| Entity Type | Organization |
| Organization Name | MAINLINE PHARMACY EBENSBURG LLC |
| Other Organization Name | MAINLINE PHARMACY |
| Practice Address |
3720 New Germany Rd Ebensburg PA 15931-1862 |
| Mailing Address |
Po Box 58 Ebensburg PA 15931-0058 |
| Practice Telephone | 8144729390 |
| Practice Fax Number | 8144721166 |
| Mailing Telephone | 8144729390 |
| Mailing Fax Number | 8144721166 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2017-08-01 |
| Authorized Official Name | BRIAN SIDONE (MEMBER OF LLC) |
| Authorized Official Telephone | 8144729390 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
PA | Behavioral Health & Social Service Providers | |
| N | 174H00000X | Health Educator | PA | Other Service Providers | |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP412694L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2133430 | 01 |
| Other Name | Type Code |
|---|---|
| Mainline Pharmacy | Doing Business As Name - Organization |
| Street Address |
3720 NEW GERMANY RD |
| City | EBENSBURG |
| State | PA |
| Zip Code | 15931-1862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083990220 | Brian J Sidone | Counselor | 3720 New Germany Rd, Ebensburg, PA 15931 | 2011-11-02 |
| 1043782386 | Sarah B Audi | Pharmacist | 3720 New Germany Rd, Ebensburg, PA 15931-1862 | 2018-12-27 |
| 1477038438 | Brittany Laura Carney | Pharmacist | 3720 New Germany Rd, Ebensburg, PA 15931-1862 | 2018-09-26 |
| 1821511577 | Megan Nicole Dunlop | Counselor | 3720 New Germany Rd, Ebensburg, PA 15931-1862 | 2017-07-24 |
| 1013439660 | Lindsey Eckenrode | Counselor | 3720 New Germany Rd, Ebensburg, PA 15931-1862 | 2017-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751288 | From The Heart Penn State | Home Health | 2354 Colver Road, Ebensburg, PA 15931 | 2017-06-29 |
| 1154722304 | Brenda Lee Stewart-bezilla | Specialist | 429 Manor Drive, Ebensburg, PA 15931 | 2014-09-08 |
| 1376959213 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 139 Cook Rd Ste 140, Ebensburg, PA 15931 | 2014-07-10 |
| 1508158643 | Ibrahim Mustafa Altubasi | Physical Therapist | 3053 New Germany Road, Ebensburg, PA 15931 | 2011-05-09 |
| 1710281381 | Samantha R Snowberger | Counselor | 499 Manor Dr, Ebensburg, PA 15931 | 2010-12-22 |
| 1003090416 | Robert Regis Maruca | Dentist | 300 W Highland Ave, Ebensburg, PA 15931 | 2007-12-20 |
| 1346375466 | Danna Johnson | Pharmacist | 4501 William Penn Highway, Ebensburg, PA 15931 | 2007-02-22 |
| 1811094352 | Bruce Allen Felix | Optometrist | 300 Wal-mart Drive, The Vision Center, Ebensburg, PA 15931 | 2006-09-19 |
| 1255440947 | Errol Dudley Henriques | General Practice | 519 North Caroline Street, Ebensburg, PA 15931 | 2006-08-29 |
| 1073530507 | Gregory Marion Zawrotny | Dentist | 501 West High Street, Ebensburg, PA 15931 | 2006-07-17 |
| Find all providers in zip 15931 | ||||
| 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 |
|---|---|---|---|---|
| 1457814857 | 3jb LLC | Pharmacy | 152 Zeman Dr Ste 103, Ebensburg, PA 15931-4130 | 2019-04-11 |
| 1033483599 | Giant Eagle Inc | Pharmacy | 881 Hills Plz, Suite 580, Ebensburg, PA 15931-4213 | 2012-03-01 |
| 1679655476 | Tibbotts Pharmacy Inc | Pharmacy | 1104 W High St, Ste1, Kimball Plaza, Ebensburg, PA 15931-1707 | 2006-10-20 |
| 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 | ||||
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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.