Organization Active NPI

Millersburg Pharmacy Inc

  • Community/Retail Pharmacy
  • Herndon, PA
National Provider Identifier
1003800657
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MILLERSBURG PHARMACY INC
Doing business as
Doing Business As Dal-Hern Pharmacy
Practice address
4372 State Route 147
Herndon, PA 17830-7439
Phone
(570) 758-2042
Fax
(570) 758-5486
NPI assigned
Sep 8, 2005
Organization subpart
Yes
Parent organization
DBA DAL-HERN PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark David McAlanis, PHARMD
Title
President
Phone
(570) 758-2042

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PP414150L PA
Pharmacy 333600000X PP412471L PA
Pharmacy 333600000X PP414150L PA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4372 State Route 147
Herndon, PA 17830-7439

Mailing address

4372 State Route 147
Herndon, PA 17830-7439
Phone (570) 758-2042

Other identifiers 2

IdentifierTypeStateIssuer
1007783180004MedicaidPA
3957391OtherPANABP

Other names 1

  • Doing Business As Dal-Hern Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930068022 PA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 2466450648 Practice locations: Herndon, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Millersburg Pharmacy Inc4 organizations share this tax ID, including this one
Part of
Millersburg Pharmacy Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4372 State Route 147
Herndon, PA 17830
Phone (570) 758-2042

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1003800657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4372 STATE ROUTE 147",
            "city": "HERNDON",
            "state": "PA",
            "postal_code": "178307439",
            "telephone_number": "570-758-2042",
            "fax_number": "570-758-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4372 STATE ROUTE 147",
            "city": "HERNDON",
            "state": "PA",
            "postal_code": "178307439",
            "telephone_number": "570-758-2042",
            "fax_number": "570-758-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLERSBURG PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DBA DAL-HERN PHARMACY",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "MCALANIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-758-2042",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP414150L",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP412471L",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP414150L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007783180004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3957391",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doing Business As Dal-Hern Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doing Business As Dal-Hern Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Herndon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.