NPIMap

Organization Active NPI

Wellspan Pharmacy, Inc.

Doing business as Wellspan Infusion Services

  • Home Infusion Therapy Pharmacy
  • York, PA
National Provider Identifier
1275684516
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PP415727L Issued in PA
Legal business name
WELLSPAN PHARMACY, INC.
Doing business as
Wellspan Infusion Services
Practice address
304 Saint Charles Way
York, PA 17402-4647
Phone
(717) 851-5891
Fax
(717) 851-5897
NPI assigned
Jan 15, 2007
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Mr. Kevin CharnetskiNPI 1952712408
Title
Director
Phone
(570) 262-6663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PP415727L PA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PP415727L PA
Community/Retail Pharmacy 3336C0003X NU
Home Infusion Therapy Pharmacy 3336H0001X PP415727L PA Primary

Addresses

Primary practice location

304 Saint Charles Way
York, PA 17402-4647

Mailing address

PO Box 20129
York, PA 17402-0140
Phone (717) 851-5891

Other identifiers 2

IdentifierTypeStateIssuer
1007746500001MedicaidPA
325770004OtherPAMEDICARE PART B

Other names 1

  • Wellspan Infusion Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930089156 PA DME Supplier - Pharmacy 2264588730 Practice locations: York, PA

Other NPIs with the same Medicare PAC ID 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Wellspan Pharmacy Inc304 Saint Charles Way, York, PA 17402-4647(717) 851-5891 Immunosuppressive Drugs|Infusion Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Jan 1, 2008

National Provider Directory

National Provider Directory

Member of 1

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

Locations

183 N Reading Rd
Ephrata, PA 17522
Phone (717) 721-5784

4910 Fairfield Rd
Ste B
Fairfield, PA 17320
Phone (717) 642-8812

304 Saint Charles Way
York, PA 17402
Phone (717) 851-5891

540 S George St
Fl 2
York, PA 17401

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1275684516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20129",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174020140",
            "telephone_number": "717-851-5891",
            "fax_number": "717-851-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SAINT CHARLES WAY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024647",
            "telephone_number": "717-851-5891",
            "fax_number": "717-851-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPAN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "CHARNETSKI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-262-6663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "PP415727L",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "PA",
            "license": "PP415727L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "PA",
            "license": "PP415727L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007746500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "325770004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspan Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellspan Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.