DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC (NPI# 1598899387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598899387 |
| Entity Type | Organization |
| Organization Name | DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC |
| Other Organization Name | CONEMAUGH MEMORIAL MEDICAL CENTER |
| Practice Address |
1086 Franklin St Pharmacy Department Johnstown PA 15905-4305 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 8145349566 |
| Practice Fax Number | 8145343342 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | THERESA GRITZER (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8145349677 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DEA | AC1631697 | 01 |
| PA | 395339 | 05 | |
| PA | NAPB | 3931361 | 01 |
| Other Name | Type Code |
|---|---|
| Conemaugh Memorial Medical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952968513 | Dlp Conemaugh Memorial Medical Center LLC | Health Educator | 320 Main St Ste 140, Johnstown, PA 15901-1601 | 2019-05-20 |
| 1457354672 | Dlp Conemaugh Memorial Medical Center LLC | Home Health | 315 Locust St, First Floor Suite, Johnstown, PA 15901-1651 | 2005-05-23 |
| 1538562665 | Dlp Conemaugh Memorial Medical Center LLC | Emergency Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2014-10-03 |
| 1649671348 | Dlp Conemaugh Memorial Medical Center LLC | Anesthesiology | 1086 Franklin St, Johnstown, PA 15905-4305 | 2014-09-12 |
| 1669873881 | Dlp Conemaugh Memorial Medical Center LLC | Pediatrics | 1086 Franklin St, Johnstown, PA 15905-4305 | 2014-09-07 |
| 1215000872 | Dlp Conemaugh Memorial Medical Center LLC | Clinic/Center | 320 Main Street, Johnstown, PA 15901-4305 | 2006-11-15 |
| 1598842627 | Dlp Conemaugh Memorial Medical Center LLC | Clinic/Center | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-11-01 |
| 1164509261 | Dlp Conemaugh Memorial Medical Center LLC | Skilled Nursing Facility | 320 Main St, Johnstown, PA 15901-1601 | 2006-11-01 |
| 1780769620 | Dlp Conemaugh Memorial Medical Center LLC | Clinic/Center | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-10-26 |
| 1053496893 | Dlp Conemaugh Memorial Medical Center LLC | Psychiatric Unit | 1020 Franklin St, 8th Floor, Johnstown, PA 15905-4109 | 2006-10-26 |
| Street Address |
1086 FRANKLIN ST PHARMACY DEPARTMENT |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051440 | Conemaugh Health Initiatives | Anesthesiology | 1086 Franklin St, Ste A401, Johnstown, PA 15905-4305 | 2005-05-23 |
| 1245838010 | Kristen Chislow | Registered Nurse | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-10-14 |
| 1043818032 | Derick Mostoller | Registered Nurse | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-10-13 |
| 1891301776 | Karen Richtar | Physician Assistant | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-09-16 |
| 1942819149 | Asfand Yar Butt | Internal Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-24 |
| 1285243535 | Muhammad Naqvi | Family Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-23 |
| 1245849405 | Steven William Davie | Internal Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-23 |
| 1871102038 | Shehbaz Ahmad | Internal Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-23 |
| 1467061606 | Iyad Aljadba | Internal Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-23 |
| 1396353686 | Symaya Hoque | Family Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1750321402 | Professional Pharmacy Services | Pharmacy | 4775 Larimer Parkway, Johnstown, CO 80534-9021 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249748 | Canonsburg General Hospital | Pharmacy | 100 Medical Blvd Fl 1, Canonsburg, PA 15317-9762 | 2020-09-11 |
| 1891166708 | Pharmscript of Pa LLC | Pharmacy | 200 W Kensinger Dr, Suite 600, Cranberry Township, PA 16066-3428 | 2015-10-19 |
| 1053561480 | Select Rx LLC | Pharmacy | 165 Veterans Cir, Ste 100, Warminster, PA 18974-3529 | 2008-09-23 |
| 1013050681 | Aria Health Pharmacy | Pharmacy | Knights & Red Lion Rd, Philadelphia, PA 19114-1436 | 2007-02-14 |
| 1780752188 | Philadelphia Department of Public Health Center Pharmacy #1 | Pharmacy | 500 S. Broad Street, Pharmacy, Philadelphia, PA 19146 | 2006-12-01 |
| 1316952948 | Guardian Healthcare Pharmacy, LLC | Pharmacy | 123 Brubaker Rd, Brockway, PA 15824-2505 | 2006-07-30 |
| 1790768471 | Pennsylvania Department of Human Services | Pharmacy | 33 Main Dr, North Warren, PA 16365-5001 | 2005-11-28 |
| 1376526111 | Pennsylvania Department of Human Services | Pharmacy | State Route 1014, Torrance, PA 15779-0111 | 2005-11-25 |
| 1457334336 | Pennsylvania Department of Human Services | Pharmacy | 50 Kirkbride Dr, Danville, PA 17821-8630 | 2005-11-23 |
| 1447233424 | Pennsylvania Department of Human Services | Pharmacy | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2005-11-23 |
| 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.