Organization · Type 2 NPI

Vandergrift Pharmacy LLC

Community/Retail Pharmacy · Vandergrift, PA

NPI number 1285717637 Active

Practice location

224 Longfellow St Ste 100
Vandergrift, PA 15690-1476

Call (724) 567-6615 Map

Fax (724) 568-1608

Mailing address

30 Conneaut Lake Rd
Greenville, PA 16125-2167

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	PP411945L (PA)
Community/Retail Pharmacy Primary	3336C0003X	PP411945L (PA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

4 other providers at this address

Other community/retail pharmacy providers in Vandergrift

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NPI record

NPI: 1285717637
Entity type: Organization (Type 2)
Issued: Oct 21, 2006
Last updated: Jul 14, 2026
Status: Active

Other names

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Vandergrift Health Mart Pharmacy · doing business as
Vandergrift Health Mart Pharmacy · doing business as

Authorized official

Bretton Walberg, R.PH.
President
(724) 612-2131

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285717637

Vandergrift Pharmacy LLC's National Provider Identifier is 1285717637, issued on Oct 21, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Vandergrift, PA. The record was last updated on Jul 14, 2026.