Organization Active NPI

Care-Fill LTC Inc

  • Community/Retail Pharmacy
  • Greenville, PA
National Provider Identifier
1013420835
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CARE-FILL LTC INC
Practice address
28 Conneaut Lake Rd
Greenville, PA 16125-2167
Phone
(724) 588-6337
NPI assigned
Nov 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Mr. Bretton Clark Walberg, RPH
Title
Owner
Phone
(724) 612-2131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP482755 PA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

28 Conneaut Lake Rd
Greenville, PA 16125-2167

Mailing address

28 Conneaut Lake Rd
Greenville, PA 16125-2167
Phone (724) 588-6337

Other names 1

  • Care-FIll LTC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250910002093 PA Part B Supplier - Pharmacy 9335657972 Practice locations: Greenville, PA

National Provider Directory

National Provider Directory
Tax ID family
Care-Fill LTC Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

28 Conneaut Lake Rd
Greenville, PA 16125
Phone (724) 588-6337

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1013420835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CONNEAUT LAKE RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161252167",
            "telephone_number": "724-588-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CONNEAUT LAKE RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161252167",
            "telephone_number": "724-588-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE-FILL LTC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "WALBERG",
        "authorized_official_first_name": "BRETTON",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-612-2131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482755",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care-FIll LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.