Trucksville Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TRUCKSVILLE PHARMACY LLC

Doing business as

Trucksville Pharmacy

Practice address

13 Carverton Rd
Trucksville, PA 18708-1712

Phone

(570) 696-2222

Fax

(570) 696-0959

NPI assigned

Jul 31, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen Billek, RPH

Title

Owner and Manager

Phone

(570) 696-2222

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• TRUCKSVILLE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1386650794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CARVERTON RD",
            "city": "TRUCKSVILLE",
            "state": "PA",
            "postal_code": "187081712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CARVERTON RD",
            "city": "TRUCKSVILLE",
            "state": "PA",
            "postal_code": "187081712",
            "telephone_number": "570-696-2222",
            "fax_number": "570-696-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCKSVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BILLEK",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER AND MANAGER",
        "authorized_official_telephone_number": "570-696-2222",
        "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": "PP412733L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3913349",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007854450001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRUCKSVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Clemens Definnis, DMD
• Brandon Michael Jayne, MSPT
• Angela Lynn
• Mark Evan Morris, D.C.
• Jordan Simon, DMD

• Community/Retail Pharmacy in Trucksville, PA
• Providers in Trucksville, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.