NPIMap

Organization Active NPI

Care-Fill LTC Inc

  • Pharmacy
  • Greenville, PA
National Provider Identifier
1033620604
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP482755 Issued in PA
Legal business name
CARE-FILL LTC INC
Practice address
28 Conneaut Lake Rd
Greenville, PA 16125-2167
Phone
(724) 588-6337
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Mr. Bretton Clark WalbergNPI 1659809374
Title
Owner
Phone
(724) 612-2131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP482755 PA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

28 Conneaut Lake Rd
Greenville, PA 16125-2167

Mailing address

260 Donation Rd
Greenville, PA 16125-8008

Other names 1

  • Care-Fill LTC Doing business as

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

43 Williamson Rd
Ste 1B
Greenville, PA 16125
Phone (724) 588-6337

Practitioners & affiliated clinicians

Practitioners 3

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": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1033620604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 DONATION RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161258008"
        },
        {
            "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": "2017-10-23",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "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."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482755",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.