PENN STATE UHS PHARMACY (NPI# 1326164138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326164138 |
Entity Type | Organization |
Organization Name | PENN STATE UHS PHARMACY |
Other Organization Name | PA UNIVERSITY HEALTH SERVICES |
Practice Address |
202c Student Health Center University Park PA 16802-2129 |
Mailing Address |
202c Student Health Center Eisenhower Drive University Park PA 16802 |
Practice Telephone | 8148659321 |
Practice Fax Number | 8148635371 |
Mailing Telephone | 8148659321 |
Mailing Fax Number | 8148635371 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2019-10-29 |
Authorized Official Name | SUSAN JOAN WIEDEMER (ASSITANT TREASURER) |
Authorized Official Telephone | 8148651355 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
HP418150L | PA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1002707420005 | 05 | |
PK | 2080921 | 01 |
Other Name | Type Code |
---|---|
PA UNIVERSITY HEALTH SERVICES | Doing Business As Name - Organization |
Street Address |
202C STUDENT HEALTH CENTER |
City | UNIVERSITY PARK |
State | PA |
Zip Code | 16802-2129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134733215 | Erin Marie Mosser | Licensed Practical Nurse | 1 Eisenhower Drive, Student Health Services, University Park, PA 16802 | 2020-09-04 |
1063034569 | Benjamin Reese | Specialist/Technologist | 201 Curtin Rd, University Park, PA 16802 | 2020-05-07 |
1740801240 | Selah Nicole Whisenant | Specialist/Technologist | Burrowes Rd, University Park, PA 16802 | 2020-05-06 |
1659992774 | Shane Jeffrey Angle | Specialist/Technologist | Rec Hall, Burrowes Road, University Park, PA 16802 | 2020-04-29 |
1497383962 | Valerie Ann Fulton | Registered Nurse | Penn State University University Health Services, Student Health Center, University Park, PA 16802 | 2020-03-31 |
1871155929 | Monica Rosensteel | Licensed Practical Nurse | 1 Eisenhower Dr, University Park, PA 16802 | 2019-06-28 |
1609430636 | Adriana Sladich | Specialist/Technologist | 201 Curtain Rd, University Parks, PA 16802 | 2019-04-25 |
1073177168 | Sara Bowman | Licensed Practical Nurse | 1 Eisenhower Road, University Park, PA 16802 | 2019-04-24 |
1538632468 | Amy Dyanna Marshall | Psychologist | 140 Moore Building, Department of Psychology, University Park, PA 16802 | 2019-01-03 |
1083192496 | Raymond J Champagne II | Specialist/Technologist | Penn State Sports Medicine, 109 Lasch Building, University Park, PA 16802 | 2018-07-30 |
Find all providers in zip 16802 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
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 |
---|---|---|---|---|
1356364210 | Pa University Hlth Svcs | Pharmacy | 130 Ritenour Building, University Park, PA 16802-7501 | 2006-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437788551 | The Milton S Hershey Medical Center | Pharmacy | 2221 Noll Dr Rm B136, Lancaster, PA 17603-7614 | 2020-04-02 |
1235697418 | Option Care Infusion Suites, LLC. | Pharmacy | 825 Town Center Dr Ste 146&150, Langhorne, PA 19047-1753 | 2019-03-07 |
1902170186 | The Milton S. Hershey Medical Center | Pharmacy | 500 University Dr Suite 1200, Hershey, PA 17033-2360 | 2012-03-06 |
1093092447 | Philly Metro Pharmacy LLC | Pharmacy | 25 E Walnut Ln, Philadelphia, PA 19144-2002 | 2011-11-14 |
1619195104 | Jfk Medical Center Pharmacy | Pharmacy | 3001 Walnut St Fl 4, Philadelphia, PA 19104-3414 | 2007-04-23 |
1295755510 | University of Pittsburgh Office of The Conptroller | Pharmacy | 103 University Place, Pittsburgh, PA 15260 | 2006-07-20 |
1578175790 | Upmc East | Pharmacy | 2775 Mosside Blvd, Monroeville, PA 15146-2760 | 2020-08-19 |
1356800551 | Dwh Direct Rx LLC | Pharmacy | 524 W Broad St, Quakertown, PA 18951-1216 | 2019-03-18 |
1013475102 | Dwh Direct Rx LLC | Pharmacy | 1707-1709 W Hamilton Street, Allentown, PA 18036 | 2019-03-07 |
1639680317 | Grand View Urgent Care | Pharmacy | 700 Horizon Cir, Chalfont, PA 18914-3906 | 2017-10-20 |
Find all providers with the same taxonomy |
City | UNIVERSITY PARK |
Zip Code | 16802 |
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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.