Marysia Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481568 Issued in PA

Legal business name

MARYSIA INC

Doing business as

The Hometown Pharmacy

Practice address

3 Northgate PLZ
Unit 2
Harmony, PA 16037-9257

Phone

(724) 452-5334

Fax

(724) 452-5592

NPI assigned

Jun 19, 2006

Last updated

Apr 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald McDermott

Title

SVP Operations

Phone

(330) 318-3926

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Hometown Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Marysia Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Marysia Inc

  dba The Hometown Pharmacy

  • Long Term Care Pharmacy
  • Harmony, PA
  • NPI 1780303412
  NPD tax ID

Locations

Practitioners 1

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.

• Greg R Seybert, RPH

  • Pharmacist
  • Harmony, PA
  • NPI 1447969415
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1720023955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8571 FOXWOOD CT",
            "address_2": "SUITE A",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445144313",
            "telephone_number": "330-318-3926",
            "fax_number": "330-318-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 NORTHGATE PLZ",
            "address_2": "UNIT 2",
            "city": "HARMONY",
            "state": "PA",
            "postal_code": "160379257",
            "telephone_number": "724-452-5334",
            "fax_number": "724-452-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYSIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "SVP OPERATIONS",
        "authorized_official_telephone_number": "330-318-3926"
    },
    "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": "PP481568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101636792-001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isaac Benjamin Jones, D.C.
• KKS Enterprise, Inc. (Seniors Helping Seniors Western PA)
• Jeffrey Kustra
• Christopher Lee Lewis, DMD
• David Malinic, D.M.D.
• Marysia Inc (The Hometown Pharmacy)
• Maybrook-C Evergreen Opco, LLC (The Grove at Harmony)
• Charles Eric McCandless, D.C.
• Mara Cecile Miglioretti, RDN, LDN
• Julianne Novak, PT

• Community/Retail Pharmacy in Harmony, PA
• Providers in Harmony, 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 Apr 21, 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.