Chewy Pharmacy LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

CHEWY PHARMACY LLC

Practice address

360 Research Dr
Pittston, PA 18640-6141

Phone

(570) 569-4673

Fax

(866) 253-0274

NPI assigned

Aug 17, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Magan Wagner

Title

Licensing & Accreditation Manager

Phone

(502) 541-7710

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Chewy Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Chewy Pharmacy LLC

  • Mail Order Pharmacy
  • Louisville, KY
  • NPI 1548810757
  NPD tax ID

Locations

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1437064235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11403 BLUEGRASS PKWY STE 780",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992388",
            "telephone_number": "502-541-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 RESEARCH DR",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186406141",
            "telephone_number": "570-569-4673",
            "fax_number": "866-253-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEWY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "MAGAN",
        "authorized_official_title_or_position": "LICENSING & ACCREDITATION MANAGER",
        "authorized_official_telephone_number": "502-541-7710",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA PHARMACY LICENSE",
            "identifier": "PP483043",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henesis Alice Castillo
• William Cavanaugh, DPT, CSCS
• CCRX
• Leonna Charles
• Erin Chesnavich, PA-C
• Jocelyn Clark
• Justin Clivik
• Bonnie Cook
• Kara Emily Cooper, PHARMD
• Brendaly Coplin

• Mail Order Pharmacy in Pittston, PA
• Providers in Pittston, PA by specialty
• Mail Order Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.