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GINO MERLI VETERANS' CENTER PHARMACY
NPI 1104181189
Pharmacy - Long Term Care Pharmacy in Scranton, PA

Active since July 06, 2012CLIA 39D0887036 · Waiver
401 PENN AVE, SCRANTON, PA 18503(570) 961-4300 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2022, Oct 29, 2018 (2 updates tracked since 2018).

About Gino Merli Veterans' Center Pharmacy NPPES

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

GINO MERLI VETERANS' CENTER PHARMACY (NPI 1104181189) is a healthcare organization registered as a long term care pharmacy in Scranton, Pennsylvania and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Thomas Reed, Fiscal Services Administrator, as its authorized official.

NPPES Registry Identity

NPI1104181189
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameDEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANIA
Location Address401 PENN AVEScranton, PA 18503-1213
Mailing Address401 Penn AveScranton, PA 18503-1213
Phone(570) 961-4300
Organization SubpartNo
Authorized OfficialThomas ReedFiscal Services Administrator · (814) 242-7789
Enumeration DateJuly 6, 2012
Last NPPES UpdateMay 24, 20222 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1104181189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X · License HP418379L (PA)
401 PENN AVE, Scranton, PA 18503
Open in Google Maps ↗

Other Names 1

Doing Business AsGino Merli Veterans' Center Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 39D0887036

Gino J Merli Veterans Center · Scranton, PA
Active · expires Jun 2, 2028
CLIA Number39D0887036
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorDaniel Kazmierski MD
Laboratory Phone(717) 961-4300
Laboratory LocationGino J Merli Veterans Center401 Penn Avenue, Scranton, PA 18503
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 15

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

JESSICA CUPANO LCSW
Social Worker (Clinical)
401 PENN AVE
SCRANTON, PA 18503
Lackawanna County (570) 961-4300
CASSANDRA MICHAYLO MS,CCC/SLP
Speech-Language Pathologist
401 PENN AVE
SCRANTON, PA 18503
Lackawanna County (570) 961-4300
JOHN CHRISTOPHER MATTISE
Physical Therapist
401 PENN AVE
SCRANTON, PA 18503
Lackawanna County (814) 506-8212
JENNIFER MITCHELL MS, OTR/L, CBIS
Occupational Therapist
401 PENN AVE
SCRANTON, PA 18503
Lackawanna County (814) 506-8212
ALICIA COOLBAUGH MS,OTR/L
Occupational Therapist
401 PENN AVE
SCRANTON, PA 18503
Lackawanna County (570) 961-4300
MRS. AMANDA LYNN BORICK MS OTR/L
Long Term Care Hospital
401 PENN AVE
SCRANTON, PA 18503
Lackawanna County (570) 961-4300
ANGELA JANE PARRY
Physical Therapist
401 PENN AVE
SCRANTON, PA 18503
Lackawanna County (570) 961-4360
DAVID JOHN BELFANTI LPT
Physical Therapist
401 PENN AVE, GINO MERLI VETERANS CENTER
SCRANTON, PA 18503
Lackawanna County (570) 961-4360

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 Department Of Military Affairs Commonwealth Of Pennsylvania's NPI number?

The NPI number for Department Of Military Affairs Commonwealth Of Pennsylvania is 1104181189. It was assigned to this organization in the NPPES registry on July 6, 2012. The provider is doing business as Gino Merli Veterans' Center Pharmacy.

Where is Department Of Military Affairs Commonwealth Of Pennsylvania located?

Department Of Military Affairs Commonwealth Of Pennsylvania is located at 401 Penn Ave, Scranton, PA 18503. The listed phone number is (570) 961-4300.

What is Department Of Military Affairs Commonwealth Of Pennsylvania's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Department Of Military Affairs Commonwealth Of Pennsylvania hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0887036) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Department Of Military Affairs Commonwealth Of Pennsylvania accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 34 other insurers list Department Of Military Affairs Commonwealth Of Pennsylvania 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 Department Of Military Affairs Commonwealth Of Pennsylvania was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.