MAINLINE COMPOUNDING & INFUSION PHARMACY LLC (NPI# 1235684952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235684952 |
| Entity Type | Organization |
| Organization Name | MAINLINE COMPOUNDING & INFUSION PHARMACY LLC |
| Other Organization Name | MAINLINE COMPOUNDING & INFUSION PHARMACY |
| Practice Address |
1049 Shoemaker St Ste 2 Nanty Glo PA 15943-1248 |
| Practice Telephone | 8144195031 |
| Practice Fax Number | 8144195041 |
| Mailing Telephone | 8144195031 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | JACK MOSCHGAT (PHARMD) |
| Authorized Official Telephone | 8143225055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PP482669 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2166206 | 01 | |
| PA | 103223817-0001 | 05 |
| Other Name | Type Code |
|---|---|
| Mainline Compounding & Infusion Pharmacy | Doing Business As Name - Organization |
| Street Address |
1049 SHOEMAKER ST STE 2 |
| City | NANTY GLO |
| State | PA |
| Zip Code | 15943-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124352760 | Gerald M. Moschgat | Pharmacy | 1049 Shoemaker St Ste 2, Nanty Glo, PA 15943-1248 | 2009-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024390 | Daniel James Leonard IIi | General Practice | 397 Fifth Street, Nanty Glo, PA 15943 | 2020-02-12 |
| 1235539800 | Mainline Pharmacy Ebensburg, LLC | Counselor | 1049 Shoemaker St, Nanty Glo, PA 15943 | 2014-09-02 |
| 1750495354 | Blacklick Valley School District | Local Education Agency (LEA) | 555 Birch St, Nanty Glo, PA 15943-1060 | 2006-08-19 |
| 1396263463 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 555 Birch St, Nanty Glo, PA 15943-1060 | 2017-09-08 |
| 1477977692 | Christopher Zamboni | Specialist/Technologist | 555 Birch St, Nanty Glo, PA 15943-1060 | 2014-02-07 |
| 1033173828 | Blacklick Valley Foundation and Ambulance Service Inc | Ambulance | 1077 1st St, Nanty Glo, PA 15943-1159 | 2006-04-17 |
| 1679014047 | Megan Joy Beiler | Social Worker | 1510 Mohawk Cir, Nanty Glo, PA 15943-1163 | 2017-03-17 |
| 1548253669 | Daniel W Johnson | Family Medicine | 1060 Lloyd St, Nanty Glo, PA 15943-1232 | 2005-08-24 |
| 1023475944 | Lisa Janosik | Nurse Practitioner | 1060 Lloyd St, Nanty Glo, PA 15943-1232 | 2016-01-22 |
| 1003222134 | Dlp Conemaugh Physician Practices LLC | Family Medicine | 1060 Lloyd St, Nanty Glo, PA 15943-1232 | 2014-07-09 |
| Find all providers in zip 15943 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506561 | Temple Community Pharmacy | Pharmacy | 3535 N 5th Street Hwy Ste 2, Reading, PA 19605-1703 | 2020-07-29 |
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1386269033 | San Juan Pharmacy LLC | Pharmacy | 200 W Buttonwood St, Reading, PA 19601-2603 | 2020-06-09 |
| 1831719319 | Mark Conklin | Pharmacy | 127 Greenbriar Dr, Wexford, PA 15090-7322 | 2020-04-24 |
| 1912536517 | Hsjc LLC | Pharmacy | 4165 N Franklin St, Philadelphia, PA 19140-2207 | 2020-04-06 |
| 1962036806 | Care Discount Pharmacy | Pharmacy | 5610 Derry St Ste 5, Harrisburg, PA 17111-3518 | 2020-03-01 |
| 1114564945 | Priority Care Rx LLC | Pharmacy | 127 S 5th St Ste 190, Quakertown, PA 18951-1674 | 2019-11-27 |
| 1326683707 | Vista Pharmacy LLC | Pharmacy | 938 N 8th St, Reading, PA 19604-2308 | 2019-11-09 |
| 1750926119 | Dharm Nandan LLC | Pharmacy | 3808 Morrell Ave, Philadelphia, PA 19114-1915 | 2019-11-08 |
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 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.