Geisinger Lewistown Hospital
Organization Active NPI Community/Retail Pharmacy · Port Matilda, PA
NPI 1447280797 · NPPES record last updated Feb 19, 2026
Key facts
- NPI
- 1447280797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PP415757L (PA)
- Legal business name
- GEISINGER LEWISTOWN HOSPITAL
- Practice address
- 132 Abigail LN
Port Matilda, PA 16870-7153 - Phone
- (814) 272-1006
- Fax
- (814) 272-1020
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Evans
- Title
- Chief Pharmacy Officer
- Phone
- (570) 271-6192
Owned or controlled facilities with NPI records 9
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 24
Member of 2
Practitioners 7
-
Allyson C. Hardy, D.O.
-
Richard A. Martin, M.D.
-
Quentin Thomas Novinger, M.D.
-
Thomas P. Olenginski, M.D.
-
Michelle Renee Trump, O.D.
-
Bret S. Yarczower, M.D.
-
Kenneth Hugh Tomczyk, D.O.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Geisinger Lewistown Hospital |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Geisinger Lewistown Hospital |
Hospital | Operational/Managerial Control | Nov 14, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260408001314 | PA | DME Supplier - Pharmacy | 4981698487 | Practice locations: Port Matilda, PA |
National Provider Directory
- Tax ID family
- Geisinger Clinic Sunbury
Locations
21 Commerce CT
Caresite Pharmacy
Mount Pocono, PA 18344
Phone (570) 895-5055
21 Commerce CT
Mount Pocono, PA 18344
Phone (570) 839-3633
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP415757L | PA | Yes |
Addresses
Primary practice location
132 Abigail LN
Port Matilda, PA 16870-7153
Mailing address
100 N Academy Ave
Danville, PA 17822-2575
Phone (570) 271-7965
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007535151283 | Medicaid | PA | |
| 1038440050004 | Medicaid | PA | |
| 2126054 | Other | PK |
Other names
- Geisinger Pharmacy
- Geisinger Pharmacy LLC
Other providers in Port Matilda, PA
- Renee L Frank
- Gallagher Counseling LLC
- Clara Yenisel Garcia Lago
- Irphan E. Gaslightwala
- Geisinger Clinic
- Geisinger Lewistown Hospital
- Shaheen M. Gill
- Rana Y Glick
- Dora Renee Green
- Jerah Gregory Griggs
All providers in Port Matilda, PA · Community/Retail Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.