Active NPI
SBW Pharmacy, Inc.
Doing business as Reynolds Pharmacy
- Community/Retail Pharmacy
- Transfer, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP412067L
- Legal business name
- SBW PHARMACY, INC.
- Doing business as
- Reynolds Pharmacy
- Practice address
- 3676 N Hermitage Rd Ste 6
Transfer, PA 16154-1852 - Phone
- (724) 646-1131
- Fax
- (724) 646-1177
- NPI assigned
- Feb 2, 2007
- Last updated
- Feb 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bretton Clark Walberg, RPH
- Title
- President
- Phone
- (724) 612-2131
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PP412067L | PA | |
| Community/Retail Pharmacy | 3336C0003X | PP412067L | PA | Primary |
Addresses
Primary practice location
3676 N Hermitage Rd Ste 6
Transfer, PA 16154-1852
Mailing address
PO Box 103
Transfer, PA 16154-0103
Phone (724) 646-1131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018507560001 | Medicaid | PA |
Other names 1
- Reynolds Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930045102 | PA | DME Supplier - Pharmacy | 2961692520 | Practice locations: Transfer, PA |
| O20140401000247 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2961692520 | Practice locations: Transfer, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2184313 | Reynolds Pharmacy | Certificate of waiver | May 18, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| SBW Pharmacy Inc | Immunosuppressive Drugs|Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Traction Equipment|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manu… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
3676 N Hermitage Rd
Ste 3
Transfer, PA 16154
Phone (724) 646-1131
3676 N Hermitage Rd
Ste 6
Transfer, PA 16154
Phone (724) 646-1131
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Greenville, PA
- NPI 1659809374
-
- Pharmacist
- Transfer, PA
- NPI 1235751355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1619015674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 103",
"city": "TRANSFER",
"state": "PA",
"postal_code": "161540103",
"telephone_number": "724-646-1131",
"fax_number": "724-646-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3676 N HERMITAGE RD STE 6",
"city": "TRANSFER",
"state": "PA",
"postal_code": "161541852",
"telephone_number": "724-646-1131",
"fax_number": "724-646-1177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SBW PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "WALBERG",
"authorized_official_first_name": "BRETTON",
"authorized_official_middle_name": "CLARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "724-612-2131",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "PP412067L",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP412067L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018507560001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Reynolds Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Transfer, PA
- Nystrom and Eckard
- Joel Erik Nystrom, M.D.
- Primary Health Network (Transfer Health Center)
- Primary Health Network
- Tracey Lynn Rusnak
- Shenango Valley Anesthesia Inc
- John Sonoga
- Surgery Center at Edgewood Place, LLC (Edgewood Surgical Hospital)
- Susan V. Estrada, MD, PC
- Transfer Pharmacy Inc (Edgewood Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.