OrganizationActive
Shade Mountain Pharmacy LLC
NPI 1912067778 · Community/Retail Pharmacy · Mt Pleasant Mills, PA
Shade Mountain Pharmacy LLC is a Community/Retail Pharmacy organization in Mt Pleasant Mills, PA (NPI 1912067778).
Provider details
- NPI number
- 1912067778
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tyler Trutt, Owner(570) 539-2050
- License
- PP413814L (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
9627 Route 35 Ste 20
Mt Pleasant Mills, PA 17853-8409
Phone: (570) 539-2050
Fax: (570) 539-8581
Street-level locationGet directions
Mailing address
9627 Route 35
Mt Pleasant Mills, PA 17853-8409
Other names (DBA / former)
- Doing business as
- Shade Mountain Pharmacy
- Doing business as
- Shade Mountain Pharmacy
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2018-05-01
Frequently asked questions
- What is Shade Mountain Pharmacy LLC's NPI number?
- Shade Mountain Pharmacy LLC's National Provider Identifier (NPI) is 1912067778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shade Mountain Pharmacy LLC?
- Shade Mountain Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Shade Mountain Pharmacy LLC located?
- Shade Mountain Pharmacy LLC's practice location on file with NPPES is 9627 Route 35 Ste 20, Mt Pleasant Mills, PA 17853-8409.
- What is Shade Mountain Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Shade Mountain Pharmacy LLC is (570) 539-2050.
- Who is the authorized official for Shade Mountain Pharmacy LLC?
- The authorized official listed on Shade Mountain Pharmacy LLC's NPPES record is Tyler Trutt, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shade Mountain Pharmacy LLC's NPI active?
- Yes — Shade Mountain Pharmacy LLC's NPI (1912067778) is active in the NPPES registry as of the last update on 2018-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.