NPIMap

Organization Active NPI

Lewisburg Pharmacy Homecare

  • Long Term Care Pharmacy
  • Lewisburg, PA
National Provider Identifier
1245074939
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LEWISBURG PHARMACY HOMECARE
Doing business as
Lewisburg Pharmacy Homecare
Practice address
50 N 2ND St
Lewisburg, PA 17837-1567
Phone
(570) 768-4446
Fax
(570) 768-4448
NPI assigned
Jun 19, 2024
Organization subpart
Yes
Parent organization
LEWISBURG PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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
Ceo
Phone
(570) 768-4446

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

50 N 2ND St
Lewisburg, PA 17837-1567

Mailing address

50 N 2ND St
Lewisburg, PA 17837-1567
Phone (570) 768-4446

Other names 1

  • Lewisburg Pharmacy Homecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lewisburg Pharmacy2 organizations share this tax ID, including this one
Part of
Lewisburg Pharmacy

Other organizations with this tax ID 1

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

Locations

50 N 2nd St
Lewisburg, PA 17837
Phone (570) 768-4446

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1245074939",
    "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",
            "fax_number": "570-768-4448"
        },
        {
            "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",
            "fax_number": "570-768-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISBURG PHARMACY HOMECARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEWISBURG PHARMACY",
        "enumeration_date": "2024-06-19",
        "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": "CEO",
        "authorized_official_telephone_number": "570-768-4446",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewisburg Pharmacy Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lewisburg Pharmacy Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, PA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.