Wellspan Pharmacy Inc
NPI 1689754079 · Community/Retail Pharmacy · Fairfield, PA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wellspan Pharmacy Inc is a Community/Retail Pharmacy organization in Fairfield, PA (NPI 1689754079).
Provider details
- NPI number
- 1689754079
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kevin Charnetski, Senior Pharmacy Manager(570) 262-6663
- License
- PP415301L (PA)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
30 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 16 | $25 |
| Admn Sarscov2 Vacc 1 Dose90480 | 14 | $41 |
Typical Medicare-allowed amounts for these services range $25–$41 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Wellspan Pharmacy
- Doing business as
- Wellspan Pharmacy
- Doing business as
- Wellspan Pharmacy - Fairfield
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2023-11-02
- Certified
- 2023-11-02
Frequently asked questions
- What is Wellspan Pharmacy Inc's NPI number?
- Wellspan Pharmacy Inc's National Provider Identifier (NPI) is 1689754079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellspan Pharmacy Inc?
- Wellspan Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Wellspan Pharmacy Inc located?
- Wellspan Pharmacy Inc's practice location on file with NPPES is 4910 Fairfield Rd Ste B, Fairfield, PA 17320-9510.
- What is Wellspan Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Wellspan Pharmacy Inc is (717) 642-8812.
- Does Wellspan Pharmacy Inc accept Medicare?
- Wellspan Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wellspan Pharmacy Inc?
- The authorized official listed on Wellspan Pharmacy Inc's NPPES record is Kevin Charnetski, Senior Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellspan Pharmacy Inc's NPI active?
- Yes — Wellspan Pharmacy Inc's NPI (1689754079) is active in the NPPES registry as of the last update on 2023-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.