Organization Active NPI

Twinsrx LLC

  • Community/Retail Pharmacy
  • New Alexandria, PA
National Provider Identifier
1104995836
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413256L Issued in PA
Legal business name
TWINSRX LLC
Practice address
8279 State Route 22 Ste 10
New Alexandria, PA 15670-3155
Phone
(724) 668-2284
Fax
(724) 668-7252
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
David Anthony TylavskyNPI 1710656475
Title
Owner/Pharmacist Manager
Phone
(724) 668-2284

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
Community/Retail Pharmacy 3336C0003X PP413256L PA Primary

Addresses

Primary practice location

8279 State Route 22 Ste 10
New Alexandria, PA 15670-3155

Mailing address

PO Box 364
New Alexandria, PA 15670-0364
Phone (724) 668-2284

Other identifiers 2

IdentifierTypeStateIssuer
2152006OtherPK
1029959720001MedicaidPA

Other names 1

  • Keystone Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160921002191 PA Part B Supplier - Pharmacy 7416255278 Practice locations: New Alexandria, PA

National Provider Directory

National Provider Directory

Locations

8279 State Route 22
Ste 10
New Alexandria, PA 15670
Phone (724) 668-2284

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1104995836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "NEW ALEXANDRIA",
            "state": "PA",
            "postal_code": "156700364",
            "telephone_number": "724-668-2284",
            "fax_number": "724-668-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8279 STATE ROUTE 22 STE 10",
            "city": "NEW ALEXANDRIA",
            "state": "PA",
            "postal_code": "156703155",
            "telephone_number": "724-668-2284",
            "fax_number": "724-668-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWINSRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "TYLAVSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST MANAGER",
        "authorized_official_telephone_number": "724-668-2284"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413256L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152006",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029959720001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keystone Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Alexandria, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.