Organization Active NPI

NC Pharmacy Inc

  • Community/Retail Pharmacy
  • New Castle, PA
National Provider Identifier
1154641066
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482028 Issued in PA
Legal business name
NC PHARMACY INC
Doing business as
NEW CASTLE PHARMACY
Practice address
1112 S Mill St
New Castle, PA 16101-4629
Phone
(724) 656-5000
Fax
(724) 656-5005
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Bretton Walberg
Title
Owner
Phone
(724) 612-2131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP482028 PA Primary

Addresses

Primary practice location

1112 S Mill St
New Castle, PA 16101-4629

Mailing address

343 Mercer Rd
Greenville, PA 16125-9773
Phone (724) 588-6337

Other identifiers 2

IdentifierTypeStateIssuer
1025123790001MedicaidPA
2124429OtherPK

Other names 1

  • NEW CASTLE PHARMACY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2257411New Castle Pharmacy1112 South Mill Street, New Castle, PA 16101Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1154641066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 MERCER RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161259773",
            "telephone_number": "724-588-6337",
            "fax_number": "724-656-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S MILL ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014629",
            "telephone_number": "724-656-5000",
            "fax_number": "724-656-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "WALBERG",
        "authorized_official_first_name": "BRETTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-612-2131"
    },
    "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": "PP482028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025123790001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124429",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW CASTLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEW CASTLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.