NPIMap

Organization Active NPI

Geisinger Pharmacy, LLC

Doing business as Geisinger Specialty Pharmacy

  • Specialty Pharmacy
  • Wilkes Barre, PA
National Provider Identifier
1346366879
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PP481700 Issued in PA
Legal business name
GEISINGER PHARMACY, LLC
Doing business as
Geisinger Specialty Pharmacy
Practice address
620 Baltimore Dr Ste 100
Wilkes Barre, PA 18702-7957
Phone
(570) 208-4721
Fax
(570) 208-4726
NPI assigned
Mar 22, 2007
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Michael A Evans
Title
Director-Retail and Mail Order
Phone
(570) 271-6192

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X PP481700 PA Primary

Addresses

Primary practice location

620 Baltimore Dr Ste 100
Wilkes Barre, PA 18702-7957

Mailing address

100 N Academy Ave
Danville, PA 17822-2575
Phone (570) 271-7965

Other names 1

  • Geisinger Specialty Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201208000889 PA DME Supplier - Pharmacy 0244640126 Practice locations: Wilkes Barre, PA

Other NPIs with the same Medicare PAC ID 18

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

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Geisinger Pharmacy LLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Member of 1

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

Member organizations 9

Organizations listed as members of this organization in the National Provider Directory.

Locations

252 Brodhead Rd
Ste 400
Bethlehem, PA 18017
Phone (484) 895-4280

100 N Academy Ave
#2575
Danville, PA 17822

100 N Academy Ave
#4952
Danville, PA 17822

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1346366879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178222575",
            "telephone_number": "570-271-7965",
            "fax_number": "570-271-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BALTIMORE DR STE 100",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027957",
            "telephone_number": "570-208-4721",
            "fax_number": "570-208-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISINGER PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR-RETAIL AND MAIL ORDER",
        "authorized_official_telephone_number": "570-271-6192"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "PA",
            "license": "PP481700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geisinger Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Geisinger Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.