Symbria Rx Great Lakes South LLC
NPI 1902569676 · Long Term Care Pharmacy · Sharpsburg, PA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Symbria Rx Great Lakes South LLC is a Long Term Care Pharmacy organization in Sharpsburg, PA (NPI 1902569676).
Provider details
- NPI number
- 1902569676
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Derek Brown, Vice President of Pharmacy(630) 981-8150
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 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
1,014 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) |
|---|---|---|
| Admn Sarscov2 Vacc 1 Dose90480 | 575 | $41 |
| Administration of Influenza Virus VaccineG0008 | 375 | $31 |
| Administration of Pneumococcal VaccineG0009 | 64 | $30 |
Typical Medicare-allowed amounts for these services range $30–$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
- Symbria Rx Great Lakes South 1
- Doing business as
- Symbria Rx Great Lakes South 1
Registry dates
- Enumerated
- 2021-10-19
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Symbria Rx Great Lakes South LLC's NPI number?
- Symbria Rx Great Lakes South LLC's National Provider Identifier (NPI) is 1902569676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Symbria Rx Great Lakes South LLC?
- Symbria Rx Great Lakes South LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Symbria Rx Great Lakes South LLC located?
- Symbria Rx Great Lakes South LLC's practice location on file with NPPES is 307 23rd Street Ext, Sharpsburg, PA 15215-2821.
- What is Symbria Rx Great Lakes South LLC's phone number?
- The practice phone number listed in the NPPES registry for Symbria Rx Great Lakes South LLC is (724) 545-1600.
- Does Symbria Rx Great Lakes South LLC accept Medicare?
- Symbria Rx Great Lakes South LLC 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 Symbria Rx Great Lakes South LLC?
- The authorized official listed on Symbria Rx Great Lakes South LLC's NPPES record is Derek Brown, Vice President of Pharmacy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Symbria Rx Great Lakes South LLC's NPI active?
- Yes — Symbria Rx Great Lakes South LLC's NPI (1902569676) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.