Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WELLSPAN PHARMACY INC
NPI 1689754079
Pharmacy - Community/Retail Pharmacy in Fairfield, PA

Active since October 17, 2006
4910 FAIRFIELD RD STE B, SUITE 2, FAIRFIELD, PA 17320(717) 642-8812(717) 642-6691 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 14, 2026, Nov 2, 2023, Mar 7, 2023 and 1 more (4 updates tracked since 2019).

About Wellspan Pharmacy Inc NPPES

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

WELLSPAN PHARMACY INC (NPI 1689754079), doing business as Wellspan Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Fairfield, Pennsylvania and active in the NPI registry since October 2006. The organization lists Kevin Charnetski, Director, as its authorized official.

NPPES Registry Identity

NPI1689754079
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWELLSPAN PHARMACY INC
Location Address4910 FAIRFIELD RD STE B, SUITE 2Fairfield, PA 17320-9510
Mailing AddressPo Box 20129York, PA 17402-0140 · (717) 851-6903 · Fax (717) 851-5407
Fax(717) 642-6691
Organization SubpartNo
Authorized OfficialKevin CharnetskiDirector · (570) 262-6663
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 14, 20264 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
NPI 1689754079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in PA · PP415301L
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 PP415301L (PA)
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
4910 FAIRFIELD RD STE B, Fairfield, PA 17320

Other Names 2

Doing Business AsWellspan Pharmacy
Doing Business AsWellspan Pharmacy - Fairfield

Other Identifiers 3

OtherPP415301LPA · Pharmacy License
Medicaid1007431520005PA
Other3973282PA · Nabp#

Accepted Insurance

Areas of Expertise CMS Part B claims 2

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.

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.
23 services23 patients
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.
16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Wellspan Pharmacy carries, from the Medicare DMEPOS supplier directory.

Wellspan Pharmacy

DMEPOS supplier · Fairfield, PAOperated by Wellspan Pharmacy Inc

Does not accept Medicare assignment

Wellspan Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20560049
Medicare Participant SinceJanuary 1, 2008
Supplier Location4910 B Fairfield RdFairfield, PA 17320
Supplier Specialties
Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Ostomy Supplies
Pouches, Paste, Powder, Barrier wipes
Urological Supplies
Catheters, Urinary collection devices
Nebulizer Equipment and/or Supplies
Nebulizers, Atomizers, Filters
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

Pharmacist
4910 FAIRFIELD RD STE B
FAIRFIELD, PA 17320
Pharmacist
4910 FAIRFIELD RD STE B
FAIRFIELD, PA 17320

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 Wellspan Pharmacy Inc's NPI number?

The NPI number for Wellspan Pharmacy Inc is 1689754079. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Wellspan Pharmacy and Wellspan Pharmacy - Fairfield.

Where is Wellspan Pharmacy Inc located?

Wellspan Pharmacy Inc is located at 4910 Fairfield Rd Ste B Suite 2, Fairfield, PA 17320. The listed phone number is (717) 642-8812.

What is Wellspan Pharmacy Inc's specialty?

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

Does Wellspan Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wellspan Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Wellspan 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 Wellspan 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 Wellspan Pharmacy Inc was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.