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MAINLINE PHARMACY PORTAGE
NPI 1770638702
Pharmacy in Portage, PA

Active since January 23, 2007
619 MAIN ST, PORTAGE, PA 15946(814) 736-4530(814) 736-9522 Get Directions Write a Review

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

Record update history: Apr 27, 2022, Apr 22, 2022, Jan 31, 2020 (3 updates tracked since 2020).

About Mainline Pharmacy Portage NPPES

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

MAINLINE PHARMACY PORTAGE (NPI 1770638702) is a healthcare organization registered as a pharmacy in Portage, Pennsylvania and active in the NPI registry since January 2007. The organization lists Steven Joseph Decriscio, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770638702
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMAINLINE CPL, LLC
Location Address619 MAIN STPortage, PA 15946-1539
Mailing Address619 Main StPortage, PA 15946-1539 · (814) 736-4530 · Fax (814) 736-9522
Phone(814) 736-4530
Fax(814) 736-9522
Organization SubpartNo
Authorized OfficialSteven Joseph DecriscioCfo · (814) 408-6800
Enumeration DateJanuary 23, 2007
Last NPPES UpdateApril 27, 20223 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1770638702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP413275L
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
619 MAIN ST, Portage, PA 15946
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Other Names 1

Doing Business AsMainline Pharmacy Portage

Other Identifiers 1

Medicaid1007331830002PA

Accepted Insurance

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

Other Providers at the Same Location NPPES 3

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

SHARON SHOFF RPH
Pharmacist
619 MAIN ST
PORTAGE, PA 15946
Cambria County (814) 736-4530
JACK MOSCHGAT PHARMD
Pharmacist
619 MAIN ST
PORTAGE, PA 15946
Cambria County (814) 736-4530
JUDITH ZOCK CASEY R PH
Pharmacist
619 MAIN ST
PORTAGE, PA 15946
Cambria County (814) 736-4530

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 Mainline Cpl, LLC's NPI number?

The NPI number for Mainline Cpl, LLC is 1770638702. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Mainline Pharmacy Portage.

Where is Mainline Cpl, LLC located?

Mainline Cpl, LLC is located at 619 Main St, Portage, PA 15946. The listed phone number is (814) 736-4530.

What is Mainline Cpl, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Mainline Cpl, LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Mainline Cpl, 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 Mainline Cpl, LLC was last updated on April 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.