Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

VANDERGRIFT PHARMACY LLC
NPI 1285717637
Pharmacy - Community/Retail Pharmacy in Vandergrift, PA

Active since October 21, 2006
224 LONGFELLOW ST STE 100, VANDERGRIFT, PA 15690(724) 567-6615(724) 568-1608 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2026, Dec 13, 2023 (2 updates tracked since 2023).

About Vandergrift Pharmacy Llc NPPES

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

VANDERGRIFT PHARMACY LLC (NPI 1285717637), doing business as Vandergrift Health Mart Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Vandergrift, Pennsylvania and active in the NPI registry since October 2006. The organization lists Bretton Walberg, President, as its authorized official.

NPPES Registry Identity

NPI1285717637
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVANDERGRIFT PHARMACY LLC
Location Address224 LONGFELLOW ST STE 100Vandergrift, PA 15690-1476
Mailing Address30 Conneaut Lake RdGreenville, PA 16125-2167 · (724) 567-6615
Fax(724) 568-1608
Organization SubpartNo
Authorized OfficialBretton WalbergPresident · (724) 612-2131
Enumeration DateOctober 21, 2006
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1285717637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in PA · PP411945L
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License PP411945L (PA)
224 LONGFELLOW ST STE 100, Vandergrift, PA 15690

Other Names 1

Doing Business AsVandergrift Health Mart Pharmacy

Other Identifiers 2

Medicaid1007627200001PA
Other3942100PA · Ncpdp

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Pharmacy (Long Term Care Pharmacy)
224 LONGFELLOW ST STE 100
VANDERGRIFT, PA 15690
Pharmacy (Long Term Care Pharmacy)
224 LONGFELLOW ST STE 100
VANDERGRIFT, PA 15690
Pharmacist
224 LONGFELLOW ST STE 100
VANDERGRIFT, PA 15690
Student in an Organized Health Care Education/Training Program
224 LONGFELLOW ST STE 100
VANDERGRIFT, PA 15690

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 Vandergrift Pharmacy LLC's NPI number?

The NPI number for Vandergrift Pharmacy LLC is 1285717637. It was assigned to this organization in the NPPES registry on October 21, 2006. The provider is doing business as Vandergrift Health Mart Pharmacy.

Where is Vandergrift Pharmacy LLC located?

Vandergrift Pharmacy LLC is located at 224 Longfellow St Ste 100, Vandergrift, PA 15690. The listed phone number is (724) 567-6615.

What is Vandergrift Pharmacy LLC's specialty?

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

What insurance does Vandergrift Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Vandergrift 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 Vandergrift Pharmacy LLC was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.