Active NPI
Community Medical Center
- Community/Retail Pharmacy
- Scranton, PA
National Provider Identifier
1245823764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- COMMUNITY MEDICAL CENTER
- Practice address
- 1800 Mulberry St
Scranton, PA 18510-2369 - Phone
- (570) 703-6000
- Fax
- (570) 703-6001
- NPI assigned
- Feb 16, 2021
- 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
- Michael A Evans
- Title
- VP Enterprise Pharmacy
- Phone
- (570) 271-6192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1800 Mulberry St
Scranton, PA 18510-2369
Mailing address
100 N Academy Ave
Danville, PA 17822-2404
Phone (570) 703-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007456760041 | Medicaid | PA | |
| PP483000 | Other | PA | PHARMACY LICENSE |
Other names 1
- Geisinger 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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Community Medical Center | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1360 Wyoming Ave
Ste 101
Scranton, PA 18509
Phone (570) 558-9270
517 Ash St
Scranton, PA 18509
Phone (570) 969-6150
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Myrtle Beach, SC
- NPI 1760478242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1245823764",
"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": "178222404",
"telephone_number": "570-703-6000",
"fax_number": "570-703-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 MULBERRY ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102369",
"telephone_number": "570-703-6000",
"fax_number": "570-703-6001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-16",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"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": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007456760041",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PP483000",
"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 Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.