Organization Active NPI

Wellspan Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Gettysburg, PA
National Provider Identifier
1851494017
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP415348L Issued in PA
Legal business name
WELLSPAN PHARMACY, INC.
Practice address
40 V Twin Drive
Suite 107
Gettysburg, PA 17325
Phone
(717) 339-2600
Fax
(717) 339-2601
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Mr. Kevin Charnetski, PHARMD
Title
Director
Phone
(570) 262-6663

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PP415348L PA
Pharmacy 333600000X PP415348L PA
Community/Retail Pharmacy 3336C0003X PP415348L PA Primary

Addresses

Primary practice location

40 V Twin Drive
Suite 107
Gettysburg, PA 17325

Mailing address

PO Box 20129
York, PA 17402-0140
Phone (717) 851-6903

Other identifiers 1

IdentifierTypeStateIssuer
1007746500013MedicaidPA

Other names 1

  • Wellspan Adams Health Center Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090924000486 PA Part B Supplier - Mass Immunization (Roster Biller Only) 2264588730 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fairfield, PA; Gettysburg, PA; Lebanon, PA; York, PA; Ephrata, PA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1851494017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20129",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174020140",
            "telephone_number": "717-851-6903",
            "fax_number": "717-851-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 V TWIN DRIVE",
            "address_2": "SUITE 107",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "17325",
            "telephone_number": "717-339-2600",
            "fax_number": "717-339-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPAN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "CHARNETSKI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-262-6663",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "PP415348L",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP415348L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415348L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007746500013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspan Adams Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.