AMALIE GROUP LLC (NPI# 1205129178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205129178 |
| Entity Type | Organization |
| Organization Name | AMALIE GROUP LLC |
| Other Organization Name | TUNKHANNOCK COMPOUNDING CENTER |
| Practice Address |
230 W Tioga St Suite 3 Tunkhannock PA 18657-6667 |
| Practice Telephone | 5709960440 |
| Practice Fax Number | 5709960217 |
| Mailing Telephone | 5709960440 |
| Mailing Fax Number | 5709960217 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |
| Authorized Official Name | MR. PETER X KONICKI (PRESIDENT) |
| Authorized Official Telephone | 5709960440 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PP482108 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DEA | FT2427549 | 01 |
| Other Name | Type Code |
|---|---|
| Tunkhannock Compounding Center | Doing Business As Name - Organization |
| Street Address |
230 W TIOGA ST SUITE 3 |
| City | TUNKHANNOCK |
| State | PA |
| Zip Code | 18657-6667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073536116 | Henry Hudson Lindner | Internal Medicine | 230 W Tioga St, Ste 5, Tunkhannock, PA 18657-6667 | 2006-07-26 |
| 1861863953 | Carol Daniels | Pharmacist | 230 W Tioga St, Suite 3, Tunkhannock, PA 18657-6667 | 2015-10-14 |
| 1831575653 | Precise Compounding Inc. | Pharmacy | 230 W Tioga St, Suite 3, Tunkhannock, PA 18657-6667 | 2015-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194092114 | Michael Francis Lynch | Physical Therapist | 821 N Eaton Rd, Tunkhannock, PA 18657 | 2011-11-18 |
| 1013200690 | Elizabeth Lynn Shook | Pharmacist | 600 Hunter Highway, Tunkhannock, PA 18657 | 2011-05-16 |
| 1649561044 | William Zupko | Pharmacist | 420 Tioga West Plaza, Tunkhannock, PA 18657 | 2011-04-20 |
| 1659681138 | Eihab Human Services, Inc. | Psychiatric Residential Treatment Facility | 1200 State Route 92 South, Tunkhannock, NY 18657 | 2010-10-18 |
| 1780992230 | Mallory Kay Racoski | Physician Assistant | 5950 Sr 6 Fl 4, Tunkhannock, PA 18657 | 2010-09-17 |
| 1912154279 | Maya W Noble | Acupuncturist | 134 E Tioga Street, Four Winds Acupuncture Clinic, Tunkhannock, PA 18657 | 2008-08-19 |
| 1023282506 | Four Winds Acupuncture Clinic and Integrative Therapies, PC | Social Worker | 6 Sunnyside Rd, Tunkhannock, PA 18657 | 2008-04-16 |
| 1871708040 | Robin Bolinder Pinches | Physical Therapist | 880 Sr6w, Tyler Memorial Hospital, Tunkhannock, PA 18657 | 2007-05-11 |
| 1972729028 | Eugene John Geeza | Physical Therapist | Tyler Memorial Hospital, 880 Sr 6 W, Tunkhannock, PA 18657 | 2007-04-17 |
| 1104981018 | Williams Primary Care PC | Internal Medicine | 71 Hollowcrest Drive, Suite 3, Tunkhannock, PA 18657 | 2006-12-22 |
| Find all providers in zip 18657 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760851265 | Bdrx LLC | Pharmacy | 1 N West End Blvd, Quakertown, PA 18951-1133 | 2015-09-15 |
| 1801208491 | Reliant Care Solutions Lp | Pharmacy | 403 S Oxford Valley Rd Ste 2, Fairless Hills, PA 19030-4202 | 2014-05-30 |
| 1083026199 | Rabskvi Health Inc | Pharmacy | 1571 Manheim Pike, Lancaster, PA 17601-3071 | 2014-05-22 |
| 1871914473 | Specialty Pharmacy Services LLC | Pharmacy | 445 W Main St Ste 7, Mount Pleasant, PA 15666-1533 | 2013-12-27 |
| 1841629433 | Insight Pharmaceutical LLC | Pharmacy | 700 E Township Line Rd # Ll2b, Havertown, PA 19083-5733 | 2013-11-05 |
| 1477980324 | Darshan Bapa Inc | Pharmacy | 8275 Bustleton Ave, Philadelphia, PA 19152-2425 | 2013-10-07 |
| 1619212032 | Fishtown Pharmacy LLC | Pharmacy | 1802 Frankford Ave, Philadelphia, PA 19125-2403 | 2012-12-11 |
| 1669717369 | Apothecary of Harleysville | Pharmacy | 345 Main St Ste 7, Harleysville, PA 19438-2420 | 2012-12-06 |
| 1497017461 | Innovative Pharmacy LLC | Pharmacy | 2014 Ford Rd Ste B, Bristol, PA 19007-6743 | 2012-06-14 |
| 1720345309 | Blue Mountain Compounding LLC | Pharmacy | 2453 Plaza Ct, Ste B, Bath, PA 18014-8762 | 2012-04-19 |
| Find all providers with the same taxonomy | ||||
| City | TUNKHANNOCK |
| Zip Code | 18657 |
Please comment or provide details below to improve the information on AMALIE GROUP LLC.
| 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.