NPIMap

Organization Active NPI

Krahling LLC

Doing business as Penns Valley Pharmacy

  • Community/Retail Pharmacy
  • Spring Mills, PA
National Provider Identifier
1790911600
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412431L Issued in PA
Legal business name
KRAHLING LLC
Doing business as
Penns Valley Pharmacy
Practice address
4576 Penns Valley Rd
Spring Mills, PA 16875-8500
Phone
(814) 422-8911
Fax
(814) 422-8368
NPI assigned
Jun 5, 2009
Last updated
May 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Nicole KrahlingNPI 1306984158
Title
Pharmacy Owner
Phone
(814) 422-8911

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PP412431L PA Primary

Addresses

Primary practice location

4576 Penns Valley Rd
Spring Mills, PA 16875-8500

Mailing address

4576 Penns Valley Rd
Spring Mills, PA 16875-8500
Phone (814) 422-8911

Other identifiers 2

IdentifierTypeStateIssuer
3992181OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1023110200001MedicaidPA

Other names 1

  • Penns Valley Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4576 Penns Valley Rd
Spring Mills, PA 16875
Phone (814) 422-8911

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1790911600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 PENNS VALLEY RD",
            "city": "SPRING MILLS",
            "state": "PA",
            "postal_code": "168758500",
            "telephone_number": "814-422-8911",
            "fax_number": "814-422-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4576 PENNS VALLEY RD",
            "city": "SPRING MILLS",
            "state": "PA",
            "postal_code": "168758500",
            "telephone_number": "814-422-8911",
            "fax_number": "814-422-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAHLING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "KRAHLING",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "814-422-8911"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412431L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3992181",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023110200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penns Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.