Symbria RX Great Lakes South LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SYMBRIA RX GREAT LAKES SOUTH LLC

Practice address

307 23Rd Street Ext
Ste 164
Sharpsburg, PA 15215-2821

Phone

(724) 545-1600

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Derek Brown

Title

Vice President of Pharmacy

Phone

(630) 981-8150

Specialties & licenses 1

Addresses

Other names 1

• Symbria Rx Great Lakes South 1 Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

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

• Symbria RX Services, LLC

  • Community/Retail Pharmacy
  • Wilmette, IL
  • NPI 1285915561

  Member Of

  NPD member

Locations

Practitioners 4

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

• Melissa Ann Balestino, R.N.

  • Registered Nurse
  • Sharpsburg, PA
  • NPI 1023772159
  NPD
• Michelle Anne Claypoole, PHARMD

  • Pharmacist
  • Sharpsburg, PA
  • NPI 1548866965
  NPD
• Amanda Loiudice, RN

  • Registered Nurse
  • Sharpsburg, PA
  • NPI 1457238974
  NPD
• Carolyn Stirling

  • Registered Nurse
  • Sharpsburg, PA
  • NPI 1881350429
  NPD

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1902569676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 JANES AVE STE 300",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172304",
            "telephone_number": "630-413-5800",
            "fax_number": "630-413-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 23RD STREET EXT",
            "address_2": "STE 164",
            "city": "SHARPSBURG",
            "state": "PA",
            "postal_code": "152152821",
            "telephone_number": "724-545-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMBRIA RX GREAT LAKES SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PHARMACY",
        "authorized_official_telephone_number": "630-981-8150"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxcontracting@symbria.com",
            "affiliation": "N",
            "address_1": "307 23rd Street Ext",
            "address_2": "Ste 164",
            "city": "Sharpsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152152821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Symbria Rx Great Lakes South 1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Symbria Rx Great Lakes South 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Apter Mates, MSS
• Virginia Marie McCool, PHARMD
• Rhoda Mills Sommer, L.C.S.W., M.S.W.
• Carolyn Stirling
• Carmela Stulga

• Long Term Care Pharmacy in Sharpsburg, PA
• Providers in Sharpsburg, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.