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FAMILY PHARMACY OF ARCHBALD
NPI 1669561213
Pharmacy - Community/Retail Pharmacy in Archbald, PA

Active since October 12, 2006
4 KELLY ST, KENNEDY PLZ 1, ARCHBALD, PA 18403(570) 876-3312(570) 876-4251 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Family Pharmacy Of Archbald NPPES

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

FAMILY PHARMACY OF ARCHBALD (NPI 1669561213) is a healthcare organization registered as a community/retail pharmacy in Archbald, Pennsylvania and active in the NPI registry since October 2006. The organization lists Dennis Dougherty, President, as its authorized official.

NPPES Registry Identity

NPI1669561213
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFAMILY PHARMACY OF ARCHBALD INC
Location Address4 KELLY ST, KENNEDY PLZ 1Archbald, PA 18403-1627
Mailing Address4 Kelly St, Kennedy Plz 1Archbald, PA 18403-1627 · (570) 876-3312 · Fax (570) 876-4251
Phone(570) 876-3312
Fax(570) 876-4251
Organization SubpartNo
Authorized OfficialDennis DoughertyPresident · (570) 848-1845
Enumeration DateOctober 12, 2006
Last NPPES UpdateDecember 23, 2015
✔ NPI 1669561213 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 · PP414382L
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
4 KELLY ST, Archbald, PA 18403
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Other Names 1

Doing Business AsFamily Pharmacy Of Archbald

Other Identifiers 3

Medicare NSC1063680001
Other2079923Pk
Medicaid01500684PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Pharmacy Of Archbald is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20130122000244Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 2

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

MRS. SANDRA LEE ALBRIGHT RPH
Pharmacist
4 KELLY ST, SUITE 1
ARCHBALD, PA 18403
Lackawanna County (570) 876-3312
CHARLENE YABLONSKY PHARM.D., R.PH
Pharmacist
4 KELLY ST, SUITE 1
ARCHBALD, PA 18403
Lackawanna County (570) 876-3312

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 Family Pharmacy Of Archbald Inc's NPI number?

The NPI number for Family Pharmacy Of Archbald Inc is 1669561213. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as Family Pharmacy Of Archbald.

Where is Family Pharmacy Of Archbald Inc located?

Family Pharmacy Of Archbald Inc is located at 4 Kelly St Kennedy Plz 1, Archbald, PA 18403. The listed phone number is (570) 876-3312.

What is Family Pharmacy Of Archbald Inc's specialty?

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

Is Family Pharmacy Of Archbald Inc enrolled in Medicare?

Yes. Family Pharmacy Of Archbald Inc is registered in the Medicare PECOS enrollment system.

When is Family Pharmacy Of Archbald Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Mass Immunization (Roster Biller Only)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Family Pharmacy Of Archbald Inc accept?

Health plans from Moda Health Plan, Inc. list Family Pharmacy Of Archbald 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 Family Pharmacy Of Archbald Inc was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.