Symbria RX Great Lakes North LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SYMBRIA RX GREAT LAKES NORTH LLC

Practice address

740 N Main Street Ext
Meadville, PA 16335-1149

Phone

(814) 724-3107

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Derek Brown

Title

Vice President of Pharmacy

Phone

(630) 981-8150

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Symbria RX Services, LLC

  • Community/Retail Pharmacy
  • Wilmette, IL
  • NPI 1285915561

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Wesbury United Methodist Community

  • Alzheimer Center (Dementia Center)
  • Meadville, PA
  • NPI 1518919778

  Adp of the SNF

  CMS ownership

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1104405752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 JANES AVE STE 300",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172304",
            "telephone_number": "630-413-5800",
            "fax_number": "630-413-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N MAIN STREET EXT",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351149",
            "telephone_number": "814-724-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMBRIA RX GREAT LAKES NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PHARMACY",
        "authorized_official_telephone_number": "630-981-8150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxcontracting@symbria.com",
            "affiliation": "N",
            "address_1": "740 N Main Street Ext",
            "city": "Meadville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163351149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carrie Ann Stubenhofer, FNP-C
• William D. Sullivan, M.D.
• Summit BHC Meadville LLC
• Eric W Svenson, MD
• Cathryn Elise Sweeney, PA-C
• Robert Gray Symons, DO
• Tuba Tahseen, DMD
• Philip Talarico
• Camryn Tallman
• John O Taylor, MD

• Long Term Care Pharmacy in Meadville, PA
• Providers in Meadville, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.