ST. MARYS PHARMACY INC NPI 1598143547

NPI Information

NPI: 1598143547
Provider Name: ST. MARYS PHARMACY INC

Doing Business As: PENN HIGHLANDS HOME MEDICAL EQUIPMENT LLC

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

CLIA Number: 39D2220231

Address:
302 S 2ND ST
UNIT B
CLEARFIELD, PA
ZIP 16830
Phone: (814) 765-0221
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ST. MARYS PHARMACY INC is an oxygen equipment and supplies durable medical equipment medical supplies in Clearfield, PA. ST. MARYS PHARMACY INC NPI is 1598143547. The provider is registered as an organization entity type.
The provider Is Doing Business As Penn Highlands Home Medical Equipment Llc.

The provider's business location address is:

302 S 2ND ST
UNIT B
CLEARFIELD, PA
ZIP 16830
Phone: (814) 765-0221
Fax: (814) 834-4925

The provider's authorized official is Jourdan Strishock .
The authorized official title is Enrollment and has the following contact phone number (814) 375-6160.

The CLIA number assigned to this NPI record is 39D2220231 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 6/21/2023.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies		3000009379	PENNSYLVANIA	No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No
3	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies			No
4	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition			No
5	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			Yes

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
1	1007711390009	MEDICAID	PENNSYLVANIA

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: 5/5/2024

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