PENNTRUST MEDICAL HOLDINGS LLC (NPI# 1851780795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851780795 |
| Entity Type | Organization |
| Organization Name | PENNTRUST MEDICAL HOLDINGS LLC |
| Other Organization Name | YARDLEY PHARMACY & SUPPLY |
| Practice Address |
175 S Main St Unit 2 Yardley PA 19067-1623 |
| Practice Telephone | 2675734555 |
| Practice Fax Number | 2675734966 |
| Mailing Telephone | 2675734555 |
| Mailing Fax Number | 2675734966 |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2016-03-09 |
| Authorized Official Name | BRIAN WILLIAM ROGERS (PRESIDENT) |
| Authorized Official Telephone | 2675327073 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP482537 | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Yardley Pharmacy & Supply | Doing Business As Name - Organization |
| Street Address |
175 S MAIN ST UNIT 2 |
| City | YARDLEY |
| State | PA |
| Zip Code | 19067-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497251425 | Johnson Chiropractic of Yardley L.L.C. | Chiropractor | 175 S Main St, Yardley, PA 19067-1623 | 2018-03-30 |
| 1194114017 | Brian William Rogers | Pharmacist | 175 S Main St, Unit 2, Yardley, PA 19067-1623 | 2015-01-15 |
| 1659311256 | Robert Elwood Johnson I | Chiropractor | 175 S Main St, Yardley, PA 19067-1623 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032039 | Annalisa Donnelly | Podiatrist | 1000 Floral Vale Blvd #400, Morrisville, PA 19067 | 2020-01-15 |
| 1558833780 | Bucks Behavioral Healthcare, LLC | Clinic/Center | 81 Big Oak Rd, Suite 102, Morrisville, PA 19067 | 2018-12-28 |
| 1952838690 | Capstone Behavioral Associates Inc. | Psychiatry & Neurology | 33 S Delaware Ave Ste 105, Yardley, PA 19067 | 2017-05-12 |
| 1386187474 | Patient Direct Rx | Pharmacy | 301 Oxford Valley Road, Suite 1203a, Yardley, PA 19067 | 2016-11-22 |
| 1275981011 | K & S Counseling Services, LLC | Community/Behavioral Health | 1790 Yardley-langhorne Road Heston Hall, Suite 107, Yardley, PA 19067 | 2016-06-02 |
| 1164877361 | Vitacom | Dietitian, Registered | 1695 Susan Circle, Yardley, PA 19067 | 2016-04-26 |
| 1316309792 | Lisa Fobian | Counselor | 70-90 W. Afton Avenue, Suite 101, Yardley, PA 19067 | 2016-03-24 |
| 1720474968 | Stephen Vanni | Internal Medicine | 1050 Stony Hill Rd, Yardley, PA 19067 | 2015-04-14 |
| 1376943712 | Lang Massage Services | Massage Therapist | 33 South Delaware Ave.suite #201, Yardley, PA 19067 | 2014-09-03 |
| 1427457068 | Brian Sung Wook Yoon | Acupuncturist | 81 Big Oak Rd Suite 105, Yardley, PA 19067 | 2014-08-20 |
| Find all providers in zip 19067 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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 |
|---|---|---|---|---|
| 1891108528 | Shop Rite of Hunterdon County Inc | Pharmacy | 1603 Big Oak Rd, Yardley, PA 19067-6418 | 2014-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| 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.