OrganizationActive
Mainline Cpl, LLC
NPI 1124117312 · Pharmacy · Cresson, PA
Provider details
- NPI number
- 1124117312
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Steven Decriscio, Cfo(814) 408-6800
- License
- PP412243L (PA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1207 Second Street
Cresson, PA 16630-1147
Phone: (814) 886-5667
Fax: (814) 886-2203
Street-level locationGet directions
Mailing address
1207 Second Street
Cresson, PA 16630-1147
Other names (DBA / former)
- Doing business as
- Mainline Pharmacy - Cresson
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2022-04-21
- Certified
- 2022-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.