Provider Type Icon

MILLCREEK MANOR PHARMACY NPI 1114393790


NPI Information

NPI: 1114393790
Provider Name: MILLCREEK MANOR PHARMACY

Doing Business As: LECOM SENIOR LIVING CENTER PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
5535 PEACH ST
ERIE, PA
ZIP 16509
Phone: (814) 868-3869
Get Directions

MILLCREEK MANOR PHARMACY is a long term care pharmacy pharmacy in Erie, PA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MILLCREEK MANOR PHARMACY NPI is 1114393790. The provider is registered as an organization entity type.
The provider Is Doing Business As Lecom Senior Living Center Pharmacy.

The provider's business location address is:

5535 PEACH ST
ERIE, PA
ZIP 16509-603
Phone: (814) 868-3869
Fax: (814) 868-3405

The provider's authorized official is Jaime Babiak .
The authorized official title is Director Of Pharmacy and has the following contact phone number (814) 868-3880.

The enumeration date for this NPI number is 8/18/2015 and was last updated on 8/18/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPP482569PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12151152OTHERPK

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.