Llewellyn's LTC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PP411400L Issued in PA

Legal business name

LLEWELLYN'S LTC

Practice address

703B Main St
Avoca, PA 18641

Phone

(570) 237-8000

NPI assigned

Jan 14, 2010

Organization subpart

Yes

Parent organization

LLEWELLYNS INCAs reported in NPPES

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

Authorized official

Name

Mr. Joseph Robert Desanto

Title

President

Phone

(570) 457-2221

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LLEWELLYN'S INC Other name

Part of

Llewellyns Inc

Locations

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1932430998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 B MAIN ST",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "18641",
            "telephone_number": "570-457-2221",
            "fax_number": "570-457-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703B MAIN ST",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "18641",
            "telephone_number": "570-237-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLEWELLYN'S LTC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LLEWELLYNS INC",
        "enumeration_date": "2010-01-14",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "DESANTO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-457-2221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP411400L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017030320001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLEWELLYN'S INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• James J Kosik, D.O.
• Joann Kosik, MHA, PA-C
• Llewellyns Inc (Llewellyns Drugs)
• Llewellyns Inc
• Peter J Loiacono, DDS
• Martin J. Moran Sr., D.O., P.C.
• Chris Allen Merithew

• Long Term Care Pharmacy in Avoca, PA
• Providers in Avoca, 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 Jan 29, 2016; 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.