MAINLINE COMPOUNDING & INFUSION PHARMACY
NPI 1235684952
Pharmacy in Nanty Glo, PA

Active since August 23, 2016
1049 SHOEMAKER ST STE 2, NANTY GLO, PA 15943(814) 419-5031(814) 419-5041 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mainline Compounding & Infusion Pharmacy NPPES

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

MAINLINE COMPOUNDING & INFUSION PHARMACY (NPI 1235684952) is a healthcare organization registered as a pharmacy in Nanty Glo, Pennsylvania and active in the NPI registry since August 2016. The organization lists Jack Moschgat, Pharmd, as its authorized official.

NPPES Registry Identity

NPI1235684952
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMAINLINE COMPOUNDING & INFUSION PHARMACY LLC
Location Address1049 SHOEMAKER ST STE 2Nanty Glo, PA 15943-1248
Mailing Address1049 Shoemaker St Ste 2Nanty Glo, PA 15943-1248 · (814) 419-5031
Fax(814) 419-5041
Organization SubpartNo
Authorized OfficialJack MoschgatPharmd · (814) 322-5055
Enumeration DateAugust 23, 2016
Last NPPES UpdateMarch 6, 2017
NPI 1235684952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in PA · PP482669
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.
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
1049 SHOEMAKER ST STE 2, Nanty Glo, PA 15943

Other Names 1

Doing Business AsMainline Compounding & Infusion Pharmacy

Other Identifiers 2

Other2166206Pk
Medicaid103223817-0001PA

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacy (Long Term Care Pharmacy)
1049 SHOEMAKER ST STE 2
NANTY GLO, PA 15943

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 Compounding & Infusion Pharmacy LLC's NPI number?

The NPI number for Mainline Compounding & Infusion Pharmacy LLC is 1235684952. It was assigned to this organization in the NPPES registry on August 23, 2016. The provider is doing business as Mainline Compounding & Infusion Pharmacy.

Where is Mainline Compounding & Infusion Pharmacy LLC located?

Mainline Compounding & Infusion Pharmacy LLC is located at 1049 Shoemaker St Ste 2, Nanty Glo, PA 15943. The listed phone number is (814) 419-5031.

What is Mainline Compounding & Infusion Pharmacy LLC's specialty?

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

What insurance does Mainline Compounding & Infusion Pharmacy LLC accept?

Health plans from Medica list Mainline Compounding & Infusion Pharmacy 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 Compounding & Infusion Pharmacy LLC was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.