Organization Active NPI

Lenox Pharmacy

  • Community/Retail Pharmacy
  • Kingsley, PA
National Provider Identifier
1306832308
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LENOX PHARMACY
Practice address
5879 Sr 92
Suite 3 Lenox Plaza
Kingsley, PA 18826-9751
Phone
(570) 222-5005
Fax
(570) 222-5006
NPI assigned
Sep 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Mr. Walter Scott Muller, RPHNPI 1114913084
Title
President
Phone
(570) 222-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X PP414982L PA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5879 Sr 92
Suite 3 Lenox Plaza
Kingsley, PA 18826-9751

Mailing address

5879 Sr 92
Suite 3 Lenox Plaza
Kingsley, PA 18826-9751
Phone (570) 222-5005

Other identifiers 1

IdentifierTypeStateIssuer
0014984970001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930002525 PA DME Supplier - Pharmacy 7113047689 Practice locations: Kingsley, PA
O20120614000297 PA Part B Supplier - Mass Immunization (Roster Biller Only) 7113047689 Practice locations: Kingsley, PA

National Provider Directory

National Provider Directory

Locations

5879 State Route 92
Ste 3
Kingsley, PA 18826
Phone (570) 222-5005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1306832308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5879 SR 92",
            "address_2": "SUITE 3 LENOX PLAZA",
            "city": "KINGSLEY",
            "state": "PA",
            "postal_code": "188269751",
            "telephone_number": "570-222-5005",
            "fax_number": "570-222-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5879 SR 92",
            "address_2": "SUITE 3 LENOX PLAZA",
            "city": "KINGSLEY",
            "state": "PA",
            "postal_code": "188269751",
            "telephone_number": "570-222-5005",
            "fax_number": "570-222-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-25",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-222-5005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "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": "PP414982L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014984970001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.

Verify at the official NPI Registry.