BLOSS PHARMACY INC. NPI 1083619415

NPI Information

  • NPI: 1083619415
  • Provider Name: BLOSS PHARMACY, INC.
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: BLOSS PHARMACY
  • Address: 2 RIVERSIDE PLAZA
    BLOSSBURG, PA
    ZIP 16912
  • Phone: (570) 638-2820

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NPI Details

BLOSS PHARMACY, INC. is a community/retail pharmacy pharmacy in Blossburg, PA. The provider is 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. BLOSS PHARMACY, INC. NPI is 1083619415. The provider is registered as an organization entity type.
The provider Is Doing Business As Bloss Pharmacy.

The provider's business location address is:

2 RIVERSIDE PLAZA
BLOSSBURG, PA
ZIP 16912-137
Phone: (570) 638-2820
Fax: (570) 638-3642

The provider's authorized official is Jennifer Mctish .
The authorized official title is Owner and has the following contact phone number (570) 638-2820.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 11/3/2020.

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
13336C0003XPharmacyCommunity/Retail PharmacyPP411873LPENNSYLVANIAYes

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
1102574237MEDICAIDPENNSYLVANIA
22128878OTHERPK

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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