Orwigsburg Apothecary LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ORWIGSBURG APOTHECARY LLC

Practice address

101 W Market St
Orwigsburg, PA 17961-1807

Phone

(570) 366-0381

Fax

(570) 366-0203

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mara Elise Oesterle, PHARMD RPHNPI 1598361024

Title

Owner

Phone

(570) 366-0381

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Thomas Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mara Elise Oesterle, PHARMD RPH

  • Pharmacist
  • Orwigsburg, PA
  • NPI 1598361024
  NPD Authorized official
• Jennifer Leibold, PHARMD

  • Pharmacist
  • Orwigsburg, PA
  • NPI 1750837241
  NPD (past)
• Tara Trubilla Smith, RPH

  • Pharmacist
  • Orwigsburg, PA
  • NPI 1447700703
  NPD (past)
• Theodore Spontak

  • Pharmacist
  • Orwigsburg, PA
  • NPI 1437605383
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1467543777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MARKET ST",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179611807",
            "telephone_number": "570-366-0381",
            "fax_number": "570-366-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MARKET ST",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179611807",
            "telephone_number": "570-366-0381",
            "fax_number": "570-366-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORWIGSBURG APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "OESTERLE",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-366-0381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP412562L",
            "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": "PHARMACY LICENSE",
            "identifier": "PP412562L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104110667-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca A O'Donnell, CRNP
• Oc Rehab & Nursing Center LLC
• Mara Elise Oesterle, PHARMD RPH
• Ashley Ortiz
• Orwigsburg Ambulance Inc
• Orwigsburg Center SNF LLC
• Christine Marie Orzechowski
• Pandental, LTD
• Krista Panella
• Radha Patel, MD

• Community/Retail Pharmacy in Orwigsburg, PA
• Providers in Orwigsburg, 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 Mar 22, 2023; 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.