Active NPI
Care-Fill LTC Inc
- Community/Retail Pharmacy
- Greenville, PA
National Provider Identifier
1013420835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250910002093 | PA | Part B Supplier - Pharmacy | 9335657972 | Practice locations: Greenville, PA |
National Provider Directory
National Provider Directory- Tax ID family
- Care-Fill LTC Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Greenville, PA
- NPI 1033620604
-
- Pharmacy
- Greenville, PA
- NPI 1376492470
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.
-
- Pharmacist
- Greenville, PA
- NPI 1376840678
-
- Pharmacist
- Greenville, PA
- NPI 1518594258
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.