Ligonier Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP413303L Issued in PA

Legal business name

LIGONIER PHARMACY, INC.

Doing business as

Ligonier Pharmacy

Practice address

113 S Fairfield St
Ste 1
Ligonier, PA 15658-1163

Phone

(724) 238-6988

Fax

(724) 238-7781

NPI assigned

Oct 11, 2005

Last updated

Jan 14, 2019By 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

Diana Lynn Neiderhiser, R.PH.NPI 1679055859

Title

Pic

Phone

(724) 238-6988

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Ligonier Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Martella's Pharmacy of Ligonier, LLC

  dba Ligonier Pharmacy

  • Community/Retail Pharmacy
  • Ligonier, PA
  • NPI 1740754696

  O20190108001922

  Same enrollment

Practitioners 6

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.

• Diana Lynn Neiderhiser, RPH

  • Pharmacist
  • Ligonier, PA
  • NPI 1679055859
  NPD (past) Authorized official
• Susan Jean Anthony

  • Pharmacist
  • Ligonier, PA
  • NPI 1629556022
  NPD (past)
• Tracy L Davis, R.PH.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Ligonier, PA
  • NPI 1356111363
  NPD (past)
• Richard F. Smith

  • Pharmacist
  • Ligonier, PA
  • NPI 1245313667
  NPD (past)
• Cheryl Lynn Tennant, B.S.

  • Pharmacist
  • Ligonier, PA
  • NPI 1013019991
  NPD (past)
• Brieanne McCarthy Wilcox, PHARMD

  • Pharmacist
  • Ligonier, PA
  • NPI 1073115143
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1417945874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S FAIRFIELD ST",
            "address_2": "STE 1",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156581163",
            "telephone_number": "724-238-6988",
            "fax_number": "724-238-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S FAIRFIELD ST",
            "address_2": "STE 1",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156581163",
            "telephone_number": "724-238-6988",
            "fax_number": "724-238-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGONIER PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "NEIDERHISER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "724-238-6988",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413303L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2085426",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010774950001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3951755",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ligonier Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ligonier Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ruth Kucera, LMFT
• Evelyn P Lemmon, D.C.
• Donna A Lenzi, LMT
• Jenna Lewis
• Ligonier Gynecology LLC
• Ligonier Physical Therapy Clinic Inc (Ligonier Physical and Occupational Therapy Clinic Inc)
• Ligonier Valley Learning Center
• Ligonier Valley Learning Center
• Ligonier Valley Learning Center Inc. (Ligonier Valley Learning Center)
• Ligonier Valley Learning Center, Inc (Ligonier Valley Learning Center)

• Community/Retail Pharmacy in Ligonier, PA
• Providers in Ligonier, 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 Jan 14, 2019; 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.