OrganizationActive
Penn Traffic Co
NPI 1629099940 · Community/Retail Pharmacy · Du Bois, PA
Penn Traffic Co is a Community/Retail Pharmacy organization in Du Bois, PA (NPI 1629099940).
Provider details
- NPI number
- 1629099940
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Daniel Mahoney, Svp/General Counsel(315) 461-2347
- License
- PP412682L (PA)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 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
100 N Main St
Du Bois, PA 15801-1888
Phone: (814) 371-9000
Fax: (814) 375-9704
Street-level locationGet directions
Mailing address
1200 State Fair Blvd
Syracuse, NY 13209-1070
Other names (DBA / former)
- Doing business as
- Bilo Foods and Pharmacy 9003
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2010-02-10
Frequently asked questions
- What is Penn Traffic Co's NPI number?
- Penn Traffic Co's National Provider Identifier (NPI) is 1629099940, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Penn Traffic Co?
- Penn Traffic Co is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Penn Traffic Co located?
- Penn Traffic Co's practice location on file with NPPES is 100 N Main St, Du Bois, PA 15801-1888.
- What is Penn Traffic Co's phone number?
- The practice phone number listed in the NPPES registry for Penn Traffic Co is (814) 371-9000.
- Who is the authorized official for Penn Traffic Co?
- The authorized official listed on Penn Traffic Co's NPPES record is Daniel Mahoney, Svp/General Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Penn Traffic Co's NPI active?
- Yes — Penn Traffic Co's NPI (1629099940) is active in the NPPES registry as of the last update on 2010-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.