Stines Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Schuylkill Haven, PA
NPI 1275544843 · NPPES record last updated May 12, 2022
Key facts
- NPI
- 1275544843
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PP412410L (PA)
- Legal business name
- STINES PHARMACY INC
- Practice address
- 1 E Main St
Schuylkill Haven, PA 17972-1603 - Phone
- (570) 385-3570
- Fax
- (570) 385-2780
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- David Siminitus
- Title
- Owner
- Phone
- (570) 385-3570
Practitioners 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Stines Pharmacy Inc |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930066497 | PA | DME Supplier - Pharmacy |
5890806418 | Practice locations: Schuylkill Haven, PA |
| O20201222002821 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5890806418 | Practice locations: Schuylkill Haven, PA |
National Provider Directory
Locations
1 E Main St
Schuylkill Haven, PA 17972
Phone (570) 385-3570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP412410L | PA | Yes |
Addresses
Primary practice location
1 E Main St
Schuylkill Haven, PA 17972-1603
Mailing address
1 E Main St
Schuylkill Haven, PA 17972-1603
Phone (570) 385-3570
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001437210001 | Medicaid | PA | |
| 2080845 | Other | PK |
Other names
- STINES PHARMACY INC
Other providers in Schuylkill Haven, PA
- Thomas P. Siro
- Siros Pharmacy Inc
- Francis Ga Solga
- Taralee Ann Stanton
- Tanya Stephens
- Katheryn Tan-Atienza
- The Chiropractic Health Works P.C.
- Kaitlin Marie Titemore
- Phillip E Tobash
- Peggy Ann Underwood
All providers in Schuylkill Haven, PA · Community/Retail Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.