LYCOMING COUNTY MONTGOMERY'S PHARMACY
NPI 1093847196
Pharmacy in Montgomery, PA

Active since March 12, 2007
21 S MAIN ST, MONTGOMERY, PA 17752(570) 547-2361 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lycoming County Montgomery's Pharmacy NPPES

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

LYCOMING COUNTY MONTGOMERY'S PHARMACY (NPI 1093847196) is a healthcare organization registered as a pharmacy in Montgomery, Pennsylvania and active in the NPI registry since March 2007. The organization lists Pauline R Montgomery, President, as its authorized official.

NPPES Registry Identity

NPI1093847196
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameLYCOMING COUNTY MONTGOMERY'S PHARMACY
Location Address21 S MAIN STMontgomery, PA 17752-1120
Mailing Address21 S Main StMontgomery, PA 17752-1120 · (570) 547-2361
Organization SubpartNo
Authorized OfficialPauline R MontgomeryPresident · (570) 584-2005
Enumeration DateMarch 12, 2007
Last NPPES UpdateJune 18, 2013
NPI 1093847196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in PA · PP411587L
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
21 S MAIN ST, Montgomery, PA 17752

Other Identifiers 1

Medicare ID-Type Unspecified1193050001PA · Medicare

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacist
21 S MAIN ST
MONTGOMERY, PA 17752

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 Lycoming County Montgomery's Pharmacy's NPI number?

The NPI number for Lycoming County Montgomery's Pharmacy is 1093847196. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Lycoming County Montgomery's Pharmacy located?

Lycoming County Montgomery's Pharmacy is located at 21 S Main St, Montgomery, PA 17752. The listed phone number is (570) 547-2361.

What is Lycoming County Montgomery's Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Lycoming County Montgomery's Pharmacy accept?

Health plans from Medica list Lycoming County Montgomery's Pharmacy 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 Lycoming County Montgomery's Pharmacy was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.