Lewisburg Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LEWISBURG PHARMACY

Practice address

50 N 2ND St
Lewisburg, PA 17837-1567

Phone

(570) 768-4446

NPI assigned

Jun 17, 2015

Last updated

Sep 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley W Gill, PHARMDNPI 1679742043

Title

Owner/Ceo

Phone

(570) 768-4446

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Lewisburg Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lewisburg Pharmacy Homecare

  • Long Term Care Pharmacy
  • Lewisburg, PA
  • NPI 1245074939
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lewisburg Pharmacy Homecare

  • Long Term Care Pharmacy
  • Lewisburg, PA
  • NPI 1245074939
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley W Gill, PHARM D.

  • Pharmacist
  • Lewisburg, PA
  • NPI 1679742043
  NPD Authorized official

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1154702835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N 2ND ST",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371567",
            "telephone_number": "570-768-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N 2ND ST",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371567",
            "telephone_number": "570-768-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISBURG PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "570-768-4446",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neyonka Lewis
• Lewisburg Area School District
• Lewisburg Cancer Center LLC
• Lewisburg Family Chiropractic
• Lewisburg Pediatrics
• Lewisburg Pharmacy Homecare
• Lewisburg Plastic Surgery and Laser Center
• Lewisburg Plastic Surgery and Laser Center
• Lewisburg RX
• Lewisburg Sport & Spine Chiropractic Center LLC

• Community/Retail Pharmacy in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.