Tri-Valley Pharmacy, Incorporated

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP415649L Issued in PA

Legal business name

TRI-VALLEY PHARMACY, INCORPORATED

Doing business as

Tri-Valley Pharmacy

Practice address

101 S Tulpehocken St
Pine Grove, PA 17963-1011

Phone

(570) 345-4966

NPI assigned

Jul 20, 2005

Last updated

Nov 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey D. Kline

Title

President

Phone

(570) 345-4966

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tri-Valley Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seth Barnetsky

  • Pharmacist
  • Pine Grove, PA
  • NPI 1588117477
  NPD (past)
• Delores Irene Barr, RPH

  • Pharmacist
  • Valley View, PA
  • NPI 1558389577
  NPD (past)
• Terry Donmoyer, TERRY

  • Pharmacist
  • Pine Grove, PA
  • NPI 1427460401
  NPD (past)
• William J Huy, PHARMACIST

  • Pharmacist
  • Pine Grove, PA
  • NPI 1750637187
  NPD (past)
• Kristy Moyer, RN

  • Registered Nurse
  • Valley View, PA
  • NPI 1891194239
  NPD (past)
• Anthony Walinsky, RPH

  • Pharmacist
  • Pine Grove, PA
  • NPI 1811905243
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1013916170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S TULPEHOCKEN ST",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179631011",
            "telephone_number": "570-345-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S TULPEHOCKEN ST",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179631011",
            "telephone_number": "570-345-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-VALLEY PHARMACY, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-345-4966"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP415649L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007504240005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert A Scalia, D.O.
• Starr Michelle Seip, PHD MS RD LDN CDE
• Stephen D Muench DDS PC
• Thompson Social Services, Inc.
• Corina Lynn Torres, DDS
• Cassandra Joy Ulinitz, OTR/L
• Anne J. Usuka, MPT
• Tanya Marie Wagner, CRNP
• Anthony Walinsky, RPH
• Thomas G Watson, M.D.

• Pharmacy in Pine Grove, PA
• Providers in Pine Grove, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.