SHADE MOUNTAIN PHARMACY
NPI 1912067778
Pharmacy - Community/Retail Pharmacy in Mt Pleasant Mills, PA

Q: What is Shade Mountain Pharmacy LLC's NPI number?

The NPI number for Shade Mountain Pharmacy LLC is 1912067778. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Shade Mountain Pharmacy.

Q: What is Shade Mountain Pharmacy LLC's specialty?

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

Active since December 11, 2006

9627 ROUTE 35 STE 20, MT PLEASANT MILLS, PA 17853(570) 539-2050(570) 539-8581 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shade Mountain Pharmacy NPPES

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

SHADE MOUNTAIN PHARMACY (NPI 1912067778) is a healthcare organization registered as a community/retail pharmacy in Mt Pleasant Mills, Pennsylvania and active in the NPI registry since December 2006. The organization lists Tyler Trutt, Owner, as its authorized official.

NPPES Registry Identity

NPI1912067778

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHADE MOUNTAIN PHARMACY LLC

Location Address9627 ROUTE 35 STE 20Mt Pleasant Mills, PA 17853-8409

Mailing Address9627 Route 35, Suite 20Mt Pleasant Mills, PA 17853-8409 · (570) 539-2050 · Fax (570) 539-8581

Phone(570) 539-2050

Fax(570) 539-8581

Organization SubpartNo

Authorized OfficialTyler TruttOwner · (570) 539-2050

Enumeration DateDecember 11, 2006

Last NPPES UpdateMay 1, 2018

✔ NPI 1912067778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in PA · PP413814L

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.

9627 ROUTE 35 STE 20, Mt Pleasant Mills, PA 17853

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Other Names 1

Doing Business AsShade Mountain Pharmacy

Other Identifiers 2

Medicaid001047164001PA

Other3951399PA · Nabp #

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 ›

Other Providers at the Same Location NPPES

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

TYLER TRUTT

Pharmacist

9627 ROUTE 35 STE 20
MT PLEASANT MILLS, PA 17853

Snyder County (570) 539-2050

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 Shade Mountain Pharmacy LLC's NPI number?

The NPI number for Shade Mountain Pharmacy LLC is 1912067778. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Shade Mountain Pharmacy.

Where is Shade Mountain Pharmacy LLC located?

Shade Mountain Pharmacy LLC is located at 9627 Route 35 Ste 20, Mt Pleasant Mills, PA 17853. The listed phone number is (570) 539-2050.

What is Shade Mountain Pharmacy LLC's specialty?

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

What insurance does Shade Mountain Pharmacy LLC 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 Shade Mountain Pharmacy 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 Shade Mountain Pharmacy LLC was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.