LEBANON PHARMACY
NPI 1598356883
Pharmacy - Community/Retail Pharmacy in Lebanon, PA

Active since January 29, 2021CLIA 39D2258919 · Waiver
990 ISABEL DR, LEBANON, PA 17042(717) 775-5108(717) 775-3501 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lebanon Pharmacy NPPES

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

LEBANON PHARMACY (NPI 1598356883) is a healthcare organization registered as a community/retail pharmacy in Lebanon, Pennsylvania and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Anilkumar Patel, Pharmacy In Charge, as its authorized official.

NPPES Registry Identity

NPI1598356883
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKUSH PHARMACY LLC
Location Address990 ISABEL DRLebanon, PA 17042-7483
Mailing Address633 Warminster LnLititz, PA 17543-5005 · (717) 775-5108 · Fax (717) 775-3501
Fax(717) 775-3501
Organization SubpartNo
Authorized OfficialAnilkumar PatelPharmacy In Charge · (301) 801-2435
Enumeration DateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
NPI 1598356883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
990 ISABEL DR, Lebanon, PA 17042

Other Names 1

Doing Business AsLebanon Pharmacy

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2258919

Lebanon Pharmacy · Lebanon, PA
Active · expires Apr 27, 2028
CLIA Number39D2258919
Laboratory TypePharmacy
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorAnilkumar N. Patel
Laboratory Phone(717) 775-5108
Laboratory LocationLebanon Pharmacy990 Isabel Dr, Lebanon, PA 17042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
112 services112 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
94 services94 patients
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
26 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients

Other Providers at the Same Location NPPES

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

Pharmacist
990 ISABEL DR
LEBANON, PA 17042

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 Kush Pharmacy LLC's NPI number?

The NPI number for Kush Pharmacy LLC is 1598356883. It was assigned to this organization in the NPPES registry on January 29, 2021. The provider is doing business as Lebanon Pharmacy.

Where is Kush Pharmacy LLC located?

Kush Pharmacy LLC is located at 990 Isabel Dr, Lebanon, PA 17042. The listed phone number is (717) 775-5108.

What is Kush Pharmacy LLC's specialty?

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

Does Kush Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2258919) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kush 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 40 other insurers list Kush 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 Kush Pharmacy LLC was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.