NPIMap

Organization Active NPI

Tri-Valley Pharmacy, Incorporated

Doing business as Tri-Valley Pharmacy

  • Pharmacy
  • Valley View, PA
National Provider Identifier
1316946387
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP412727L Issued in PA
Legal business name
TRI-VALLEY PHARMACY, INCORPORATED
Doing business as
Tri-Valley Pharmacy
Practice address
301 West Main Street
Valley View, PA 17983-0186
Phone
(570) 682-3145
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Mr. Jeffrey D. Kline
Title
President
Phone
(570) 682-3145

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X PP412727L PA Primary

Addresses

Primary practice location

301 West Main Street
Valley View, PA 17983-0186

Mailing address

PO Box 186
Valley View, PA 17983-0186
Phone (570) 682-3145

Other identifiers 1

IdentifierTypeStateIssuer
1007504240007MedicaidPA

Other names 1

  • Tri-Valley Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

7 W Main St
Tremont, PA 17981
Phone (570) 695-3120

301 W Main St
Valley View, PA 17983
Phone (570) 682-3145

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1316946387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "VALLEY VIEW",
            "state": "PA",
            "postal_code": "179830186",
            "telephone_number": "570-682-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WEST MAIN STREET",
            "city": "VALLEY VIEW",
            "state": "PA",
            "postal_code": "179830186",
            "telephone_number": "570-682-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-VALLEY PHARMACY, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-682-3145",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "PP412727L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007504240007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley View, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.