OrganizationActive
Mainline Pharmacy Ebensburg, LLC
NPI 1235539800 · Community/Retail Pharmacy · Nanty Glo, PA
Mainline Pharmacy Ebensburg, LLC is a Community/Retail Pharmacy organization in Nanty Glo, PA (NPI 1235539800).
Provider details
- NPI number
- 1235539800
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Steven Decriscio, Cfo(814) 408-6800
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1049 Shoemaker St Ste 1
Nanty Glo, PA 15943-1248
Phone: (814) 419-6717
Fax: (814) 419-6719
Street-level locationGet directions
Mailing address
1049 Shoemaker St Ste 1
Nanty Glo, PA 15943-1248
Other names (DBA / former)
- Doing business as
- Mainline Pharmacy
Registry dates
- Enumerated
- 2014-09-02
- Last updated
- 2022-06-08
- Certified
- 2022-06-08
Frequently asked questions
- What is Mainline Pharmacy Ebensburg, LLC's NPI number?
- Mainline Pharmacy Ebensburg, LLC's National Provider Identifier (NPI) is 1235539800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mainline Pharmacy Ebensburg, LLC?
- Mainline Pharmacy Ebensburg, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Mainline Pharmacy Ebensburg, LLC located?
- Mainline Pharmacy Ebensburg, LLC's practice location on file with NPPES is 1049 Shoemaker St Ste 1, Nanty Glo, PA 15943-1248.
- What is Mainline Pharmacy Ebensburg, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mainline Pharmacy Ebensburg, LLC is (814) 419-6717.
- Who is the authorized official for Mainline Pharmacy Ebensburg, LLC?
- The authorized official listed on Mainline Pharmacy Ebensburg, LLC's NPPES record is Steven Decriscio, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mainline Pharmacy Ebensburg, LLC's NPI active?
- Yes — Mainline Pharmacy Ebensburg, LLC's NPI (1235539800) is active in the NPPES registry as of the last update on 2022-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.