MARIENVILLE PHARMACY
NPI 1417044173
Pharmacy - Community/Retail Pharmacy in Marienville, PA

Active since October 06, 2006CLIA 39D1031709 · Waiver
120 CHERRY ST, MARIENVILLE, PA 16239(814) 927-8700 Get Directions Write a Review

NPPES record last updated: June 19, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marienville Pharmacy NPPES

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

MARIENVILLE PHARMACY (NPI 1417044173) is a healthcare organization registered as a community/retail pharmacy in Marienville, Pennsylvania and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 6, 2026 and lists Jennifer Hawthorn, Manager, as its authorized official.

NPPES Registry Identity

NPI1417044173
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCLARION DEVELOPMENT CORPORATION
Location Address120 CHERRY STMarienville, PA 16239
Mailing Address120 Cherry St., P.o. Box 434Marienville, PA 16239 · (814) 927-8700 · Fax (814) 927-8142
Organization SubpartYes
Authorized OfficialJennifer HawthornManager · (814) 927-8700
Enumeration DateOctober 6, 2006
Last NPPES UpdateJune 19, 2009
NPI 1417044173 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 · PP415304L
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 · License PP415304L (PA)
120 CHERRY ST, Marienville, PA 16239

Other Names 1

Doing Business AsMarienville Pharmacy

Other Identifiers 2

Medicaid1007277670007PA
Medicare NSC0671550001PA

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D1031709
Facility Type
Physician Office
Certificate Effective Date
October 07, 2024
Certificate Expiration Date
October 06, 2026
Laboratory Director
DR. JAMES E. DEVLIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marienville Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MARIENVILLE PHARMACY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
120 CHERRY ST
MARIENVILLE, PA 16239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417044173, enumerated as an "organization" on October 06, 2006.

The provider is located at 120 CHERRY ST MARIENVILLE, PA 16239 and the phone number is (814) 927-8700.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.