Healthcare Provider Details

I. General information

NPI: 1902842891
Provider Name (Legal Business Name): NORTHWEST PHARMACY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 N MAIN STREET EXT STE 001
MEADVILLE PA
16335-1149
US

IV. Provider business mailing address

740 N MAIN STREET EXT STE 001
MEADVILLE PA
16335-1149
US

V. Phone/Fax

Practice location:
  • Phone: 814-724-3107
  • Fax: 814-724-3108
Mailing address:
  • Phone: 814-724-3107
  • Fax: 814-724-3108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPP481519
License Number StatePA

VIII. Authorized Official

Name: STEPHENIE WERNER
Title or Position: ASSISTANT DIRECTOR OF OPERATIONS
Credential:
Phone: 814-724-3107