SPARTAN PHARMACY
NPI 1124116298
Pharmacy - Community/Retail Pharmacy in Bethel Park, PA

Q: What is Spartan Pharmacy Inc's NPI number?

The NPI number for Spartan Pharmacy Inc is 1124116298. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Spartan Pharmacy.

Q: What is Spartan Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since October 11, 2006

3400 S PARK RD, BETHEL PARK, PA 15102(412) 831-1333(412) 831-1991 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Spartan Pharmacy NPPES

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

SPARTAN PHARMACY (NPI 1124116298) is a healthcare organization registered as a community/retail pharmacy in Bethel Park, Pennsylvania and active in the NPI registry since October 2006. The organization lists Adam Rice, Owner, as its authorized official.

NPPES Registry Identity

NPI1124116298

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSPARTAN PHARMACY INC

Location Address3400 S PARK RDBethel Park, PA 15102-1150

Mailing Address3400 South Park RdBethel Park, PA 15102 · (412) 831-1333 · Fax (412) 831-1991

Phone(412) 831-1333

Fax(412) 831-1991

Organization SubpartYes

Authorized OfficialAdam RiceOwner · (412) 884-5650

Enumeration DateOctober 11, 2006

Last NPPES UpdateAugust 24, 2021

NPPES CertifiedAugust 24, 2021

✔ NPI 1124116298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in PA · PP411714L

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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.

3400 S PARK RD, Bethel Park, PA 15102

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Other Names 1

Doing Business AsSpartan 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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spartan Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StatePennsylvaniaEnrollment IDO20111212000846Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 7

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

JEREMY DINCHER MD

Family Medicine