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WINOLA PHARMACY
NPI 1699781492
Pharmacy - Community/Retail Pharmacy in Lake Winola, PA

Active since August 01, 2006
ROUTE 307 WINOLA PLAZA, LAKE WINOLA, PA 18625(570) 378-2885(570) 378-2962 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Winola Pharmacy NPPES

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

WINOLA PHARMACY (NPI 1699781492) is a healthcare organization registered as a community/retail pharmacy in Lake Winola, Pennsylvania and active in the NPI registry since August 2006. The organization lists Peter X Konicki, Pharmacy Owner, as its authorized official.

NPPES Registry Identity

NPI1699781492
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWISHBONE ENTERPRISES LLC
Location AddressROUTE 307 WINOLA PLAZALake Winola, PA 18625-2962
Mailing AddressPo Box 279Lake Winola, PA 18625-0279 · (570) 378-2885 · Fax (570) 378-2962
Phone(570) 378-2885
Fax(570) 378-2962
Organization SubpartNo
Authorized OfficialPeter X KonickiPharmacy Owner · (570) 378-2885
Enumeration DateAugust 1, 2006
Last NPPES UpdateMay 15, 2012
✔ NPI 1699781492 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 · PP414435L
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 ListedPharmacistTaxonomy 183500000X · License PP414435L (PA)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License RP032206L (PA)
ROUTE 307 WINOLA PLAZA, Lake Winola, PA 18625
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Other Names 1

Doing Business AsWinola Pharmacy

Other Identifiers 3

Other3962330PA · Nabp
Medicaid1007440510001PA
Medicare NSC1067180001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Wishbone Enterprises LLC's NPI number?

The NPI number for Wishbone Enterprises LLC is 1699781492. It was assigned to this organization in the NPPES registry on August 1, 2006. The provider is doing business as Winola Pharmacy.

Where is Wishbone Enterprises LLC located?

Wishbone Enterprises LLC is located at Route 307 Winola Plaza, Lake Winola, PA 18625. The listed phone number is (570) 378-2885.

What is Wishbone Enterprises LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Wishbone Enterprises LLC was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.