Active NPI
NC Pharmacy Inc
- Community/Retail Pharmacy
- New Castle, PA
National Provider Identifier
1154641066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP482028
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025123790001 | Medicaid | PA | |
| 2124429 | Other | PK |
Other names 1
- NEW CASTLE PHARMACY
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2257411 | New Castle Pharmacy | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.