Active NPI
Wallier Inc
Doing business as Sharon Pharmacy
- Community/Retail Pharmacy
- Sharon, PA
National Provider Identifier
1356579072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP481902
- Legal business name
- WALLIER INC
- Doing business as
- Sharon Pharmacy
- Practice address
- 63 Pitt St Ste 102
Sharon, PA 16146-2102 - Phone
- (724) 347-7000
- Fax
- (724) 347-7007
- NPI assigned
- Jul 1, 2009
- 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
- Bretton Walberg
- Title
- Owner/RPH
- Phone
- (724) 612-2131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP481902 | PA | Primary |
Addresses
Primary practice location
63 Pitt St Ste 102
Sharon, PA 16146-2102
Mailing address
343 Mercer Rd
Greenville, PA 16125-9773
Phone (724) 885-0310
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3992307 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 1023240290001 | Medicaid | PA |
Other names 1
- SHARON PHARMACY
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2257408 | Sharon Pharmacy | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
63 Pitt St
Ste 102
Sharon, PA 16146
Phone (724) 347-7000
197 E Silver St
Sharon, PA 16146
Phone (724) 342-6600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654732800000",
"number": "1356579072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 MERCER RD",
"city": "GREENVILLE",
"state": "PA",
"postal_code": "161259773",
"telephone_number": "724-885-0310",
"fax_number": "724-885-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 PITT ST STE 102",
"city": "SHARON",
"state": "PA",
"postal_code": "161462102",
"telephone_number": "724-347-7000",
"fax_number": "724-347-7007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALLIER INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-01",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A",
"authorized_official_last_name": "WALBERG",
"authorized_official_first_name": "BRETTON",
"authorized_official_title_or_position": "OWNER/RPH",
"authorized_official_telephone_number": "724-612-2131"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP481902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3992307",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023240290001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SHARON PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SHARON PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sharon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.