NPIMap

Organization Active NPI

McCracken Pharmacy Inc

  • Community/Retail Pharmacy
  • Waynesburg, PA
National Provider Identifier
1750467239
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411522L Issued in PA
Legal business name
MCCRACKEN PHARMACY INC
Doing business as
McCracken Pharmacy
Practice address
595 E High St
Waynesburg, PA 15370
Phone
(724) 627-5454
Fax
(724) 627-5429
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Mr. Charles Scott Adamson, RPHNPI 1396826996
Title
President
Phone
(724) 627-5454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PP 411522L PA
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP411522L PA Primary

Addresses

Primary practice location

595 E High St
Waynesburg, PA 15370

Mailing address

595 E High St
Waynesburg, PA 15370-1805
Phone (724) 627-5454

Other identifiers 2

IdentifierTypeStateIssuer
3927576OtherOTHER ID NUMBER
0008722280001MedicaidPA

Other names 1

  • McCracken Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930083562 PA DME Supplier - Pharmacy 7618095274 Practice locations: Waynesburg, PA
O20110308000524 PA Part B Supplier - Mass Immunization (Roster Biller Only) 7618095274 Practice locations: Waynesburg, PA

National Provider Directory

National Provider Directory
Tax ID family
McCracken Pharmacy 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.

Locations

595 E High St
Waynesburg, PA 15370
Phone (724) 627-5454

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1750467239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E HIGH ST",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701805",
            "telephone_number": "724-627-5454",
            "fax_number": "724-627-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E HIGH ST",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "15370",
            "telephone_number": "724-627-5454",
            "fax_number": "724-627-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCRACKEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "ADAMSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-627-5454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "PP 411522L",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411522L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3927576",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008722280001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCracken Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McCracken Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.