PROVIDENCE PHARMACY SVC LP (NPI# 1700897378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700897378 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE PHARMACY SVC LP |
| Other Organization Name | PROVIDENCE PHARMACY SERVICES LP |
| Practice Address |
615 N Pike Rd Cabot PA 16023-2215 |
| Practice Telephone | 7243528822 |
| Practice Fax Number | 7243528866 |
| Mailing Telephone | 7243528822 |
| Mailing Fax Number | 7243528866 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | RICHARD ZABINSKI (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 7243528822 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PP481217 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0019280970001 | 05 | |
| PK | 2086334 | 01 |
| Other Name | Type Code |
|---|---|
| PROVIDENCE PHARMACY SERVICES LP | Doing Business As Name - Organization |
| Street Address |
615 N PIKE RD |
| City | CABOT |
| State | PA |
| Zip Code | 16023-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871683243 | Concordia Medical Equipment | Durable Medical Equipment & Medical Supplies | 615 N Pike Rd, Cabot, PA 16023-2215 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629050786 | Marie C Moreau | Nurse Practitioner | 112 Marwood Road Suite 5000, Cabot, PA 16023 | 2005-11-15 |
| 1588668107 | Concordia Lutheran Health and Human Care | Skilled Nursing Facility | 134 Marwood Rd, Cabot, PA 16023-2206 | 2005-06-10 |
| 1346736428 | Jennifer Lindsey Lesnett | Physical Therapist | 134 Marwood Rd, Cabot, PA 16023-2206 | 2018-07-02 |
| 1497184337 | Morgan Ann Summerville | Speech-Language Pathologist | 134 Marwood Rd, Cabot, PA 16023-2206 | 2013-11-01 |
| 1821342395 | Kimberly Ann Masuga | Speech-Language Pathologist | 134 Marwood Rd, Cabot, PA 16023-2206 | 2012-11-05 |
| 1093013104 | Jennifer Lucas | Speech-Language Pathologist | 134 Marwood Rd, Cabot, PA 16023-2206 | 2011-03-14 |
| 1861706343 | Bravis Enterprises, Inc | Clinic/Center | 134 Marwood Rd, Cabot, PA 16023-2206 | 2010-07-27 |
| 1134350317 | Terry Louise Bowser | Speech-Language Pathologist | 134 Marwood Rd, Cabot, PA 16023-2206 | 2009-08-05 |
| 1982860375 | Concordia Lutheran Health and Human Care | Clinic/Center | 134 Marwood Rd, Cabot, PA 16023-2206 | 2008-08-05 |
| 1689874661 | Allegheny Medical Practice Network | Internal Medicine | 134 Marwood Rd, Suite 1, Cabot, PA 16023-2206 | 2007-07-19 |
| Find all providers in zip 16023 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
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|---|---|---|---|---|
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| 1669008306 | Claysville Pharmacy, LLC | Pharmacy | 575 Henderson Ave, Washington, PA 15301-1901 | 2020-03-13 |
| 1245861079 | Giant Eagle, Inc. | Pharmacy | 6204 State Route 30 Ste A, Greensburg, PA 15601-6399 | 2020-01-30 |
| 1730719147 | Millers Pharmacy Inc | Pharmacy | 41857 Us Rt 6, Farm & Home Plaza, Wyalusing, PA 18853 | 2020-01-24 |
| 1083269310 | Rp-prn Inc | Pharmacy | 503 Railroad Ave Ste 2, Patton, PA 16668-1342 | 2019-08-05 |
| 1417513292 | Superior Care Pharmacy Inc | Pharmacy | 518 Burke Byp, Olyphant, PA 18447-1805 | 2019-05-16 |
| 1053871806 | Gdd Pharmacy Services, Inc. | Pharmacy | 2025 Technology Pkwy Ste G04, Mechanicsburg, PA 17050-9400 | 2019-03-20 |
| 1497235196 | Minnich's Pharmacy Inc | Pharmacy | 974 S George St, York, PA 17403-3708 | 2018-08-21 |
| 1194204859 | Johnson's Pharmaceutical Services Inc | Pharmacy | 1400 Proline Pl Ste 800, Gettysburg, PA 17325-9401 | 2018-08-13 |
| 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.