Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mainline Pharmacy Ebensburg, LLC

Community/Retail Pharmacy in Nanty Glo, PA · enumerated 2014 · authorized official Steven Decriscio, Cfo.

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

National Provider Identifier

1235539800

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Mainline Pharmacy Ebensburg, LLC

Other name <Unavail>

Practice address 1049 Shoemaker St Ste 1, Nanty Glo, PA, 15943

Phone (814) 419-6717

Fax (814) 419-6719

Enumeration date Sep 2, 2014

Last updated in NPPES Jun 8, 2022

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Steven Decriscio

Title Cfo

Phone (814) 408-6800

Other identifiers

Identifier	Type	State	Issuer
102691494-0002	Medicaid	PA	-

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

Where is Mainline Pharmacy Ebensburg, LLC located?

The practice location on file with NPPES is in Nanty Glo, PA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-06-08. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-08.