Guardian Long Term Care Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481661 Issued in PA

Legal business name

GUARDIAN LONG TERM CARE PHARMACY INC

Practice address

147 Old Newport St
Ste 1
Nanticoke, PA 18634-1327

Phone

(570) 812-0300

Fax

(570) 812-0030

NPI assigned

Mar 15, 2007

Last updated

Dec 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Rendos

Title

Director of Operations

Phone

(814) 503-7400

Specialties & licenses 2

Addresses

Other identifiers 3

Practitioners 1

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.

• Jennifer Urso, RPH, FASCP

  • Geriatric Pharmacist
  • Brockway, PA
  • NPI 1376762286
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1285768994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BRUBAKER RD",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158242505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 OLD NEWPORT ST",
            "address_2": "STE 1",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341327",
            "telephone_number": "570-812-0300",
            "fax_number": "570-812-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN LONG TERM CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "RENDOS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "814-503-7400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481661",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3988079",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015064750002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3988079",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Greene
• Deric Grohowski, DC
• Joseph Paul Gronka, D.M.D.
• Guardian Elder Care at Nanticoke II LLC (Birchwood Healthcare and Rehabilitation Center)
• Guardian Elder Care at Nanticoke LLC (Guardian Healthcare and Rehabilitation Center)
• Heather Lasco Nutrition LLC (Confidently NourishED)
• Melanie Hill
• Richard A Hiscox, DO
• Jennifer L Houston, MS OTR/L
• Jacob Luke Hummel, PA-C

• Community/Retail Pharmacy in Nanticoke, PA
• Providers in Nanticoke, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.