3JB LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411885L Issued in PA

Legal business name

3JB LLC

Doing business as

Mainline Pharmacy Hastings

Practice address

317 Beaver St
Hastings, PA 16646-0520

Phone

(814) 247-9959

Fax

(814) 247-8690

NPI assigned

Nov 17, 2006

Last updated

Jun 8, 2022By 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

Steven Joseph Decriscio

Title

Cfo

Phone

(814) 408-6800

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MAINLINE PHARMACY HASTINGS Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• 3JB LLC

  dba Mainline Pharmacy - Davidsville

  • Community/Retail Pharmacy
  • Davidsville, PA
  • NPI 1225142318

  O20170815000999

  Same enrollment
• 3JB LLC

  dba Mainline Pharmacy - Blairsville

  • Community/Retail Pharmacy
  • Blairsville, PA
  • NPI 1780600114

  O20170815000999

  Same enrollment
• 3JB LLC

  dba Mainline Pharmacy Harrison City

  • Community/Retail Pharmacy
  • Harrison City, PA
  • NPI 1811992001

  O20170815000999

  Same enrollment
• SD Pharmacy Services LLC

  dba Mainline Pharmacy - Somerset

  • Community/Retail Pharmacy
  • Somerset, PA
  • NPI 1598771263

  O20170815000999

  Same enrollment

Practitioners 5

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.

• Dennis J Fowler, R PH

  • Pharmacist
  • Hastings, PA
  • NPI 1114929601
  NPD (past)
• Jenna Kroner, PHARMD.

  • Pharmacist
  • Davidsville, PA
  • NPI 1093296683
  NPD (past)
• John Pastorek

  • Pharmacist
  • Indiana, PA
  • NPI 1013396167
  NPD (past)
• Gretchen Peirce Semsick, PHARMD, MS

  • Pharmacist
  • Blairsville, PA
  • NPI 1801227186
  NPD (past)
• Brian J Sidone, PHARMD

  • Pharmacist
  • Ebensburg, PA
  • NPI 1083990220
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1861565582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 598",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166460598",
            "telephone_number": "814-247-9959",
            "fax_number": "814-274-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 BEAVER ST",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166460520",
            "telephone_number": "814-247-9959",
            "fax_number": "814-247-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3JB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "DECRISCIO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-408-6800"
    },
    "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": "PP411885L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103037188-0005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAINLINE PHARMACY HASTINGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Jo Adams, FNP-C
• Rebecca Jean Barczak
• Jan Brown, DDS
• Marie Antoinette Carpinello, RN
• Stefanie Cavallo, CRNP

• Community/Retail Pharmacy in Hastings, PA
• Providers in Hastings, 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 Jun 8, 2022; 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.