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LECOM SENIOR LIVING CENTER PHARMACY
NPI 1114393790
Pharmacy - Long Term Care Pharmacy in Erie, PA

Active since August 18, 2015CLIA 39D0889023 · Waiver
5535 PEACH ST, ERIE, PA 16509(814) 868-3869(814) 868-3405 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lecom Senior Living Center Pharmacy NPPES

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

LECOM SENIOR LIVING CENTER PHARMACY (NPI 1114393790) is a healthcare organization registered as a long term care pharmacy in Erie, Pennsylvania and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Jaime Babiak, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1114393790
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMILLCREEK MANOR PHARMACY
Location Address5535 PEACH STErie, PA 16509-2603
Mailing Address5535 Peach StErie, PA 16509-2603 · (814) 868-3869 · Fax (814) 868-3405
Phone(814) 868-3869
Fax(814) 868-3405
Organization SubpartNo
Authorized OfficialJaime BabiakDirector Of Pharmacy · (814) 868-3880
Enumeration DateAugust 18, 2015
✔ NPI 1114393790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in PA · PP482569
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 ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
5535 PEACH ST, Erie, PA 16509
Open in Google Maps ↗

Other Names 1

Doing Business AsLecom Senior Living Center Pharmacy

Other Identifiers 1

Other2151152Pk

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 39D0889023

Millcreek Manor · Erie, PA
Active · expires Jul 17, 2028
CLIA Number39D0889023
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorJohn M. Ferretti
Laboratory Phone(814) 868-3888
Laboratory LocationMillcreek Manor5535 Peach Street, Erie, PA 16509
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

RYAN J LYNCH DO
Psychiatry & Neurology (Neurology)
5535 PEACH ST
ERIE, PA 16509
Erie County (814) 868-3488
DR. JEAN M STORM DO
Internal Medicine
5535 PEACH ST
ERIE, PA 16509
Erie County (814) 868-3488
DR. GIANPIERO MARTONE DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5535 PEACH ST
ERIE, PA 16509
Erie County (814) 868-3488
DR. JENNIFER ANN KLINE PHARMD
Pharmacist
5535 PEACH ST
ERIE, PA 16509
Erie County (814) 868-3452
BRANDON MICHAEL SING PHARM.D.
Pharmacist
5535 PEACH ST
ERIE, PA 16509
Erie County (814) 868-3984
MIKAYLA CONANT
Occupational Therapy Assistant
5535 PEACH ST
ERIE, PA 16509
Erie County (814) 868-3888
MILLCREEK MANOR
Clinical Medical Laboratory
5535 PEACH ST
ERIE, PA 16509
Erie County (814) 868-2496
STEPHANIE ANN CHLEBUS-NICK PA-C
Physician Assistant
5535 PEACH ST
ERIE, PA 16509
Erie County (814) 868-3488

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 Millcreek Manor Pharmacy's NPI number?

The NPI number for Millcreek Manor Pharmacy is 1114393790. It was assigned to this organization in the NPPES registry on August 18, 2015. The provider is doing business as Lecom Senior Living Center Pharmacy.

Where is Millcreek Manor Pharmacy located?

Millcreek Manor Pharmacy is located at 5535 Peach St, Erie, PA 16509. The listed phone number is (814) 868-3869.

What is Millcreek Manor Pharmacy's specialty?

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

Does Millcreek Manor Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0889023) is associated with this NPI, valid through July 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Millcreek Manor Pharmacy 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 42 other insurers list Millcreek Manor 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 Millcreek Manor Pharmacy was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.