MAINLINE CPL LLC NPI 1124352760

NPI Information

  • NPI: 1124352760
  • Provider Name: MAINLINE CPL, LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: MAINLINE LTC PHARMACY
  • Address: 1049 SHOEMAKER ST STE 2
    NANTY GLO, PA
    ZIP 15943
  • Phone: (814) 736-3044

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NPI Details

MAINLINE CPL, LLC is a long term care pharmacy pharmacy in Nanty Glo, 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, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MAINLINE CPL, LLC NPI is 1124352760. The provider is registered as an organization entity type.
The provider Is Doing Business As Mainline Ltc Pharmacy.

The provider's business location address is:

1049 SHOEMAKER ST STE 2
NANTY GLO, PA
ZIP 15943-248
Phone: (814) 736-3044
Fax: (814) 736-9522

The provider's authorized official is Steven Joseph Decriscio .
The authorized official title is Cfo and has the following contact phone number (814) 408-6800.

The enumeration date for this NPI number is 9/30/2009 and was last updated on 4/27/2022.

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
13336L0003XPharmacyLong Term Care PharmacyPP481858PENNSYLVANIAYes

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
1PP481858OTHERPENNSYLVANIAPA STATE LICENSE

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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