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LINESVILLE PHARMACY
NPI 1609219179
Pharmacy - Community/Retail Pharmacy in Linesville, PA

Active since April 15, 2013CLIA 39D2210132 · Waiver
123 W ERIE ST, LINESVILLE, PA 16424(814) 818-0010(814) 818-0024 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Linesville Pharmacy NPPES

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

LINESVILLE PHARMACY (NPI 1609219179) is a healthcare organization registered as a community/retail pharmacy in Linesville, Pennsylvania and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Bretton Walberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1609219179
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLINESVILLE PHARMACY INC
Location Address123 W ERIE STLinesville, PA 16424-9227
Mailing Address343 Mercer RdGreenville, PA 16125-9773 · (724) 885-0310 · Fax (330) 876-0195
Phone(814) 818-0010
Fax(814) 818-0024
Organization SubpartNo
Authorized OfficialBretton WalbergOwner · (724) 612-2131
Enumeration DateApril 15, 2013
Last NPPES UpdateMay 27, 2022
NPPES CertifiedMay 27, 2022
✔ NPI 1609219179 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 · PP482375
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
123 W ERIE ST, Linesville, PA 16424
Open in Google Maps ↗

Other Names 1

Doing Business AsLinesville Pharmacy

Other Identifiers 2

Other2138478Pk
Medicaid1029111950001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 39D2210132

Linesville Pharmacy · Linesville, PA
Active · expires Jan 19, 2027
CLIA Number39D2210132
Laboratory TypePharmacy
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorKylee A. Lewis
Laboratory Phone(724) 588-6337
Laboratory LocationLinesville Pharmacy123 W Erie Street, Linesville, PA 16424
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Linesville Pharmacy Inc's NPI number?

The NPI number for Linesville Pharmacy Inc is 1609219179. It was assigned to this organization in the NPPES registry on April 15, 2013. The provider is doing business as Linesville Pharmacy.

Where is Linesville Pharmacy Inc located?

Linesville Pharmacy Inc is located at 123 W Erie St, Linesville, PA 16424. The listed phone number is (814) 818-0010.

What is Linesville Pharmacy Inc's specialty?

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

Does Linesville Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2210132) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Linesville Pharmacy Inc 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 48 other insurers list Linesville Pharmacy Inc 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 Linesville Pharmacy Inc was last updated on May 27, 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.