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CLARKS SUMMIT STATE HOSPITAL PHARMACY
NPI 1023268323
Pharmacy - Institutional Pharmacy in Clarks Summit, PA

Active since September 23, 2008CLIA 39D0892092 · Waiver
1451 HILLSIDE DR, CLARKS SUMMIT, PA 18411(570) 319-3520(570) 319-3510 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clarks Summit State Hospital Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARKS SUMMIT STATE HOSPITAL PHARMACY (NPI 1023268323) is a healthcare organization registered as an institutional pharmacy in Clarks Summit, Pennsylvania and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Patti A. Eisner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023268323
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NamePA DEPTMENT OF PUBLIC WELFARE
Location Address1451 HILLSIDE DRClarks Summit, PA 18411-9504
Mailing Address1451 Hillside DrClarks Summit, PA 18411-9504 · (570) 319-3520 · Fax (570) 319-3510
Phone(570) 319-3520
Fax(570) 319-3510
Organization SubpartNo
Authorized OfficialPatti A. EisnerAdministrator · (717) 705-2774
Enumeration DateSeptember 23, 2008
Last NPPES UpdateMarch 19, 2018
✔ NPI 1023268323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License✔ Licensed in PA · PP481817
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License PP481817 (PA)
1451 HILLSIDE DR, Clarks Summit, PA 18411
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Other Names 1

Doing Business AsClarks Summit State Hospital Pharmacy

Other Identifiers 1

OtherPP481817PA · Pa Pharmacy Permit Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Molina Healthcare and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0892092

Clarks Summit State Hosp Psych · Clarks Summit, PA
Active · expires Sep 21, 2026
CLIA Number39D0892092
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorDr. Marsha E. Modery
Laboratory Phone(570) 587-7254
Laboratory LocationClarks Summit State Hosp Psych1451 Hillside Dr, Clarks Summit, PA 18411
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTIE SWOREN PSY.D.
Psychologist (Clinical)
1451 HILLSIDE DR
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-7467
DR. SUSAN C LEE M.D.
Specialist
1451 HILLSIDE DR
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-7254
MARIA C YAGER D.O.
Family Medicine
1451 HILLSIDE DR
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 586-2011
DR. FRANCISCO L GARCIA JR. M.D.
Psychiatry & Neurology (Psychiatry)
1451 HILLSIDE DR
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-7254
DR. JUDITH S. GOLDEN PH.D.
Psychologist
1451 HILLSIDE DR
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 586-2011
DR. EUN S YOO MD
Psychiatry & Neurology (Psychiatry)
1451 HILLSIDE DR, NEWTON HALL
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-7254
DR. DAVID BENGT NESBIT M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
1451 HILLSIDE DR
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 586-2011
DONALD A KACHLINE M.D.
Internal Medicine
1451 HILLSIDE DR, NEWTON HALL, MEDICAL OFFICE
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-7254

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is PA Deptment Of Public Welfare's NPI number?

The NPI number for PA Deptment Of Public Welfare is 1023268323. It was assigned to this organization in the NPPES registry on September 23, 2008. The provider is doing business as Clarks Summit State Hospital Pharmacy.

Where is PA Deptment Of Public Welfare located?

PA Deptment Of Public Welfare is located at 1451 Hillside Dr, Clarks Summit, PA 18411. The listed phone number is (570) 319-3520.

What is PA Deptment Of Public Welfare's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Does PA Deptment Of Public Welfare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0892092) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does PA Deptment Of Public Welfare accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Molina Healthcare, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 4 other insurers list PA Deptment Of Public Welfare as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for PA Deptment Of Public Welfare was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.