NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Penn Traffic Co

Community/Retail Pharmacy in Brookville, PA · enumerated 2006 · authorized official Daniel Mahoney, Svp/General Counsel.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174544498

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Penn Traffic Co
Other name <Unavail>
Practice address 40 S White St, Brookville, PA, 15825
Fax (814) 849-9650
Enumeration date Jul 21, 2006
Last updated in NPPES Feb 10, 2010

Taxonomy & classification

333600000X Pharmacy Suppliers · License PP414919L (PA) Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Daniel Mahoney
Title Svp/General Counsel

Other identifiers

Identifier Type State Issuer
01465807 Medicaid PA -
3968558 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
1007783900034 Other - PA PROMISE- MEDICAID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Penn Traffic Co?
The NPI for Penn Traffic Co is 1174544498, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Penn Traffic Co?
NPPES lists Daniel Mahoney (Svp/General Counsel) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-02-10.