TRI-VALLEY PHARMACY INCORPORATED NPI 1013916170

NPI Information

  • NPI: 1013916170
  • Provider Name: TRI-VALLEY PHARMACY, INCORPORATED
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: TRI-VALLEY PHARMACY
  • Address: 101 S TULPEHOCKEN ST
    PINE GROVE, PA
    ZIP 17963
  • Phone: (570) 345-4966

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NPI Details

TRI-VALLEY PHARMACY, INCORPORATED is a pharmacy in Pine Grove, PA. The provider is 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. TRI-VALLEY PHARMACY, INCORPORATED NPI is 1013916170. The provider is registered as an organization entity type.
The provider Is Doing Business As Tri-valley Pharmacy.

The provider's business location address is:

101 S TULPEHOCKEN ST
PINE GROVE, PA
ZIP 17963-011
Phone: (570) 345-4966

The provider's authorized official is Jeffrey D. Kline .
The authorized official title is President and has the following contact phone number (570) 345-4966.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 7/20/2005 and was last updated on 11/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyPP415649LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007504240005MEDICAIDPENNSYLVANIA
21046720003MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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