NPIMap

Organization Active NPI

Geisinger Pharmacy, LLC

Doing business as Geisinger Pharmacy

  • Community/Retail Pharmacy
  • Reedsville, PA
National Provider Identifier
1215087242
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP414038L Issued in PA
Legal business name
GEISINGER PHARMACY, LLC
Doing business as
Geisinger Pharmacy
Practice address
10 Gateway Dr
Reedsville, PA 17084-9641
Phone
(717) 363-9315
Fax
(717) 363-9316
NPI assigned
Jan 11, 2007
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Michael A Evans
Title
VP Enterprise Pharmacy
Phone
(570) 271-6192

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PP414038L PA Primary

Addresses

Primary practice location

10 Gateway Dr
Reedsville, PA 17084-9641

Mailing address

100 N Academy Ave
Danville, PA 17822-2575
Phone (570) 271-7965

Other identifiers 2

IdentifierTypeStateIssuer
2150185OtherPK
1007535151359MedicaidPA

Other names 1

  • Geisinger Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201123002971 PA DME Supplier - Pharmacy 0244640126 Practice locations: Reedsville, PA

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Geisingr Pharmacy LLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Member of 1

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

Locations

4752 State Route 655
#A
Belleville, PA 17004
Phone (717) 935-2341

100 N Academy Ave
#2404
Danville, PA 17822

100 N Academy Ave
#3007
Danville, PA 17822

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1215087242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178222575",
            "telephone_number": "570-271-7965",
            "fax_number": "570-271-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GATEWAY DR",
            "city": "REEDSVILLE",
            "state": "PA",
            "postal_code": "170849641",
            "telephone_number": "717-363-9315",
            "fax_number": "717-363-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP ENTERPRISE PHARMACY",
        "authorized_official_telephone_number": "570-271-6192"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP414038L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150185",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007535151359",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geisinger Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Geisinger Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reedsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.