Active NPI
GDD Pharmacy Services Inc
Doing business as Pine Grove Pharmacy
- Community/Retail Pharmacy
- Pine Grove, PA
National Provider Identifier
1295876217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GDD PHARMACY SERVICES INC
- Doing business as
- Pine Grove Pharmacy
- Practice address
- 10 E Pottsville St
Pine Grove, PA 17963-1100 - Phone
- (570) 345-4422
- Fax
- (570) 345-8708
- NPI assigned
- Feb 11, 2007
- Last updated
- Apr 12, 2024
- 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
- Darrin Silbaugh
- Title
- Pres
- Phone
- (717) 732-2112
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | PP411879L | PA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
10 E Pottsville St
Pine Grove, PA 17963-1100
Mailing address
10 E Pottsville St
Pine Grove, PA 17963-1100
Phone (570) 345-4422
Other names 1
- Pine Grove Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180322000976 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5496876542 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Harrisburg, PA; Pine Grove, PA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba See-Right Pharmacy
- Community/Retail Pharmacy
- Harrisburg, PA
- NPI 1548271117
O20180322000976
-
dba Harrisburg Pharmacy
- Community/Retail Pharmacy
- Harrisburg, PA
- NPI 1669555223
O20180322000976
National Provider Directory
National Provider DirectoryLocations
10 E Pottsville St
Pine Grove, PA 17963
Phone (570) 345-4422
8 E Pottsville St
#10
Pine Grove, PA 17963
Phone (570) 345-4422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712880000000",
"number": "1295876217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 E POTTSVILLE ST",
"city": "PINE GROVE",
"state": "PA",
"postal_code": "179631100",
"telephone_number": "570-345-4422",
"fax_number": "570-345-8708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E POTTSVILLE ST",
"city": "PINE GROVE",
"state": "PA",
"postal_code": "179631100",
"telephone_number": "570-345-4422",
"fax_number": "570-345-8708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GDD PHARMACY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-11",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A",
"authorized_official_last_name": "SILBAUGH",
"authorized_official_first_name": "DARRIN",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "717-732-2112"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP411879L",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pine Grove Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pine Grove Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pine Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.