Linesville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482375 Issued in PA

Legal business name

LINESVILLE PHARMACY INC

Practice address

123 W Erie St
Linesville, PA 16424-9227

Phone

(814) 818-0010

Fax

(814) 818-0024

NPI assigned

Apr 15, 2013

Organization subpart

No

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

Authorized official

Name

Bretton Walberg

Title

Owner

Phone

(724) 612-2131

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Linesville Pharmacy Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1609219179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 MERCER RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161259773",
            "telephone_number": "724-885-0310",
            "fax_number": "330-876-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W ERIE ST",
            "city": "LINESVILLE",
            "state": "PA",
            "postal_code": "164249227",
            "telephone_number": "814-818-0010",
            "fax_number": "814-818-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINESVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "WALBERG",
        "authorized_official_first_name": "BRETTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-612-2131"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138478",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029111950001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linesville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Linesville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Conneaut School District
• Kristie Michelle Hamilton
• Erin Renee Hruska, DPT
• Marissa Johnson
• Nicole Marie Kent, ATR, LPC
• Linesville Volunteer Fire Dept Inc
• Rachel Louise Lynch, FNP-C
• Maria Ivonne Norman, PT, DPT
• Northwest Physicians Associates, P.C.
• Renato P Ramirez, MD

• Community/Retail Pharmacy in Linesville, PA
• Providers in Linesville, 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 May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.