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NPI · 1912067778 · NPPES-sourced

Shade Mountain Pharmacy LLC

ActiveCommunity/Retail Pharmacy
NPI Number
1912067778
Type 2 · Organisation
Taxonomy Code
3336C0003X
Contact
(570) 539-2050
License PA · PP413814L
Last Updated
Enumerated
Primary practice addressPA · 17853-8409
9627 Route 35 Ste 20Mt Pleasant Mills, PA 17853-8409
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About this NPIWhat this record shows.

NPI 1912067778 is registered to Shade Mountain Pharmacy LLC, a healthcare organisation classified as "Community/Retail Pharmacy" and located at 9627 Route 35 Ste 20 in Mt Pleasant Mills, Pennsylvania. The organisation's authorised official is Tyler Trutt. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 3951399PA· Issued by NABP #

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Shade Mountain Pharmacy LLC accepts. To confirm in-network status with your specific health plan, contact Shade Mountain Pharmacy LLC directly at (570) 539-2050.

Frequently asked

Yes. NPI 1912067778 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Community/Retail Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (570) 539-2050.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Shade Mountain Pharmacy LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy3336C0003X
Last updated
Enumerated
StatusActive
Partneri
partner offer
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1 record · same addressOther providers at this location.

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Same specialtyOther Community/Retail Pharmacy providers in Pennsylvania.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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