1. Home
  2. Directory
  3. Pennsylvania
  4. Nanty Glo
  5. Pharmacy
  6. NPI Profile

MAINLINE PHARMACY
NPI 1235539800
Pharmacy - Community/Retail Pharmacy in Nanty Glo, PA

Active since September 02, 2014
1049 SHOEMAKER ST STE 1, NANTY GLO, PA 15943(814) 419-6717(814) 419-6719 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 8, 2022, Apr 21, 2022, Jul 13, 2017 (3 updates tracked since 2017).

About Mainline Pharmacy NPPES

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

MAINLINE PHARMACY (NPI 1235539800) is a healthcare organization registered as a community/retail pharmacy in Nanty Glo, Pennsylvania and active in the NPI registry since September 2014. The organization lists Steven J Decriscio, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235539800
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMAINLINE PHARMACY EBENSBURG, LLC
Location Address1049 SHOEMAKER ST STE 1Nanty Glo, PA 15943-1248
Mailing Address1049 Shoemaker St Ste 1Nanty Glo, PA 15943-1248 · (814) 419-6717 · Fax (814) 419-6719
Phone(814) 419-6717
Fax(814) 419-6719
Organization SubpartNo
Authorized OfficialSteven J DecriscioCfo · (814) 408-6800
Enumeration DateSeptember 2, 2014
Last NPPES UpdateJune 8, 20223 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1235539800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
Also ListedPharmacyTaxonomy 333600000X
1049 SHOEMAKER ST STE 1, Nanty Glo, PA 15943
Open in Google Maps ↗

Other Names 1

Doing Business AsMainline Pharmacy

Other Identifiers 1

Medicaid102691494-0002PA

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 Pharmacy Ebensburg, LLC's NPI number?

The NPI number for Mainline Pharmacy Ebensburg, LLC is 1235539800. It was assigned to this organization in the NPPES registry on September 2, 2014. The provider is doing business as Mainline Pharmacy.

Where is Mainline Pharmacy Ebensburg, LLC located?

Mainline Pharmacy Ebensburg, LLC is located at 1049 Shoemaker St Ste 1, Nanty Glo, PA 15943. The listed phone number is (814) 419-6717.

What is Mainline Pharmacy Ebensburg, LLC's specialty?

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

What insurance does Mainline Pharmacy Ebensburg, LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Mainline Pharmacy Ebensburg, 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 Pharmacy Ebensburg, LLC was last updated on June 8, 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.