Marysia Inc
Organization Active NPI Community/Retail Pharmacy · Harmony, PA
NPI 1720023955 · NPPES record last updated Apr 21, 2023
Key facts
- NPI
- 1720023955
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PP481568 (PA)
- Legal business name
- MARYSIA INC
- Practice address
- 3 Northgate PLZ
Unit 2
Harmony, PA 16037-9257 - Phone
- (724) 452-5334
- Fax
- (724) 452-5592
- NPI assigned
- Jun 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Ronald McDermott
- Title
- SVP Operations
- Phone
- (330) 318-3926
Corporate family (same tax ID) 1
Practitioners 1
-
Greg R Seybert, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930060574 | PA | DME Supplier - Pharmacy | 5193928646 | Practice locations: Harmony, PA |
| O20161031000526 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193928646 | Practice locations: Harmony, PA |
National Provider Directory
- Tax ID family
- Marysia Inc
Locations
3 Northgate Plz
Harmony, PA 16037
Phone (724) 452-5334
3 Northgate Plz
Unit 2
Harmony, PA 16037
Phone (724) 452-5334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP481568 | PA | Yes |
Addresses
Primary practice location
3 Northgate PLZ
Unit 2
Harmony, PA 16037-9257
Mailing address
8571 Foxwood CT
Suite a
Poland, OH 44514-4313
Phone (330) 318-3926
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2087766 | Other | PK | |
| 101636792-001 | Medicaid | PA |
Other names
- The Hometown Pharmacy
Other providers in Harmony, PA
- Isaac Benjamin Jones
- KKS Enterprise, Inc.
- Jeffrey Kustra
- Christopher Lee Lewis
- David Malinic
- Marysia Inc
- Maybrook-C Evergreen Opco, LLC
- Charles Eric McCandless
- Mara Cecile Miglioretti
- Julianne Novak
All providers in Harmony, 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 Apr 21, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.