Organization Active NPI

Wallier Inc

Doing business as Sharon Pharmacy

  • Community/Retail Pharmacy
  • Sharon, PA
National Provider Identifier
1356579072
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481902 Issued in PA
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

Updated by the provider on Jun 9, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3992307OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1023240290001MedicaidPA

Other names 1

  • SHARON PHARMACY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2257408Sharon Pharmacy63 Pitt Street, Suite 102, Sharon, PA 16146Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.