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ROSTRAVER DRUG STORE LLC
NPI 1174552475
Pharmacy - Community/Retail Pharmacy in Belle Vernon, PA

Active since July 01, 2006
520 CIRCLE DR, BELLE VERNON, PA 15012(724) 929-5533(724) 929-5530 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rostraver Drug Store Llc NPPES

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

ROSTRAVER DRUG STORE LLC (NPI 1174552475) is a healthcare organization registered as a community/retail pharmacy in Belle Vernon, Pennsylvania and active in the NPI registry since July 2006. The organization lists Bryan Polomoscanik, Owner, as its authorized official.

NPPES Registry Identity

NPI1174552475
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROSTRAVER DRUG STORE L L C
Location Address520 CIRCLE DRBelle Vernon, PA 15012-9680
Mailing Address520 Circle DrBelle Vernon, PA 15012-9680 · (724) 929-5533 · Fax (724) 929-5530
Phone(724) 929-5533
Fax(724) 929-5530
Organization SubpartNo
Authorized OfficialBryan PolomoscanikOwner · (724) 518-4195
Enumeration DateJuly 1, 2006
Last NPPES UpdateJune 13, 2016
✔ NPI 1174552475 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 · PP481600
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.
520 CIRCLE DR, Belle Vernon, PA 15012
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Other Names 1

Doing Business AsRostraver Drug Store Llc

Other Identifiers 3

Medicaid1016655970001PA
Medicare NSC5720960001
Other2087835Pk

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 Rostraver Drug Store L L C's NPI number?

The NPI number for Rostraver Drug Store L L C is 1174552475. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is doing business as Rostraver Drug Store LLC.

Where is Rostraver Drug Store L L C located?

Rostraver Drug Store L L C is located at 520 Circle Dr, Belle Vernon, PA 15012. The listed phone number is (724) 929-5533.

What is Rostraver Drug Store L L C's specialty?

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

What insurance does Rostraver Drug Store L L C accept?

Health plans from Medica and Moda Health Plan, Inc. list Rostraver Drug Store L L C 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 Rostraver Drug Store L L C was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.