| NPI | 1013916170 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-07-20 |
| Last Updated | 2012-11-21 |
| Authorized Official | Jeffrey Kline President Phone: 5703454966 |
| Mailing Address | 101 S Tulpehocken St Pine Grove, PA 17963-1011 United States Phone: (570) 345-4966 📍 View Map |
| Primary Practice Address | 101 S Tulpehocken St Pine Grove, PA 17963-1011 United States Phone: (570) 345-4966 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | PA | 1007504240005 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| Yes | 333600000X – Pharmacy | PA | PP415649L |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1013916170
Tri-Valley Pharmacy, Incorporated is an organization registered in the CMS NPPES NPI Registry with NPI number 1013916170. The primary specialty listed is Pharmacy. The organization is located in Pine Grove, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1013916170?
NPI 1013916170 belongs to Tri-Valley Pharmacy, Incorporated, a Pharmacy in Pine Grove, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1013916170 active?
The current status of NPI 1013916170 in the NPPES registry is Active. The record was last updated on 2012-11-21.
What specialty is NPI 1013916170?
NPI 1013916170 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1013916170?
You can verify NPI 1013916170 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1013916170?
The primary practice address on file for NPI 1013916170 is 101 S Tulpehocken St, Pine Grove, PA 17963-1011. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1013916170 issued?
NPI 1013916170 was first issued (enumerated) on 2005-07-20. The NPPES record was last updated on 2012-11-21.
Practice Location Map
Tri-Valley Pharmacy, Incorporated is located at 101 S Tulpehocken St, Pine Grove, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tri-Valley Pharmacy, Incorporated. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1013916170. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | PP415649L | PA |