DEPIETROS PHARMACY LLC NPI 1922657931

NPI Information

  • NPI: 1922657931
  • Provider Name: DEPIETROS PHARMACY LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • CLIA Number: 39D2210789
  • Address: 617 3RD ST
    DUNMORE, PA
    ZIP 18512
  • Phone: (570) 209-7440

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NPI Details

DEPIETROS PHARMACY LLC is a long term care pharmacy pharmacy in Dunmore, 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. DEPIETROS PHARMACY LLC NPI is 1922657931. The provider is registered as an organization entity type.

The provider's business location address is:

617 3RD ST
DUNMORE, PA
ZIP 18512-849
Phone: (570) 209-7440

The provider's authorized official is Thomas Ryan Depietro .
The authorized official title is Owner and has the following contact phone number (570) 209-7440.

The CLIA number assigned to this NPI record is 39D2210789 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2019 and was last updated on 9/11/2019.

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 PharmacyYes

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: 3/30/2025

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