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MAINLINE PHARMACY - CRESSON
NPI 1124117312
Pharmacy in Cresson, PA

Active since October 12, 2006
1207 SECOND STREET, CRESSON, PA 16630(814) 886-5667(814) 886-2203 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2022, Jan 31, 2020 (2 updates tracked since 2020).

About Mainline Pharmacy - Cresson NPPES

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

MAINLINE PHARMACY - CRESSON (NPI 1124117312) is a healthcare organization registered as a pharmacy in Cresson, Pennsylvania and active in the NPI registry since October 2006. The organization lists Steven Joseph Decriscio, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124117312
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMAINLINE CPL, LLC
Location Address1207 SECOND STREETCresson, PA 16630-1147
Mailing Address1207 Second StreetCresson, PA 16630-1147 · (814) 886-5667 · Fax (814) 886-2203
Phone(814) 886-5667
Fax(814) 886-2203
Organization SubpartNo
Authorized OfficialSteven Joseph DecriscioCfo · (814) 408-6800
Enumeration DateOctober 12, 2006
Last NPPES UpdateApril 21, 20222 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
✔ NPI 1124117312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP412243L
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.
1207 SECOND STREET, Cresson, PA 16630
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Other Names 1

Doing Business AsMainline Pharmacy - Cresson

Other Identifiers 1

Medicaid1007331830003PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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 Mainline Cpl, LLC's NPI number?

The NPI number for Mainline Cpl, LLC is 1124117312. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as Mainline Pharmacy - Cresson.

Where is Mainline Cpl, LLC located?

Mainline Cpl, LLC is located at 1207 Second Street, Cresson, PA 16630. The listed phone number is (814) 886-5667.

What is Mainline Cpl, LLC's specialty?

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

What insurance does Mainline Cpl, LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Mainline Cpl, LLC 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 Mainline Cpl, LLC was last updated on April 21, 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.