Tri-valley Pharmacy, Incorporated
Pharmacy
101 S Tulpehocken St, Pine Grove
Pennsylvania, 17963-1011
570-345-4966 Tri-valley Pharmacy, Incorporated is a Pharmacy in Pine Grove, Pennsylvania. It is located at 101 S Tulpehocken St, Pine Grove and it's customer support contact number is 570-345-4966. The authorized person of Tri-valley Pharmacy, Incorporated is Jeffrey D. Kline who is President of the pharmacy and his contact number is 570-345-4966. Active license number of Tri-valley Pharmacy, Incorporated is PP415649L for Pharmacy in Pennsylvania. Tri-valley Pharmacy, Incorporated accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Tri-valley Pharmacy, Incorporated is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Tri-valley Pharmacy, Incorporated type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Tri-valley Pharmacy, Incorporated |
| Type: | Pharmacy |
| Location: | 101 S Tulpehocken St, Pine Grove,
Pennsylvania, 17963-1011 |
| Phone: | 570-345-4966 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jeffrey D. Kline |
| Position: | President |
| Contact Number: | 570-345-4966 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1013916170 |
| NPI Enumeration Date: | 20 Jul, 2005 |
| NPI Last Update On: | 21 Nov, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tri-valley Pharmacy, Incorporated are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | PP415649L | Pennsylvania | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1007504240005 | Medicaid | Pennsylvania | |
Medicare Enrollment:
Tri-valley Pharmacy, Incorporated is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3173500626 | O20100930033832 | Tri-valley Pharmacy, Incorporated | DME SUPPLIER - PHARMACY |
Products Available:
Tri-valley Pharmacy, Incorporated has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Heat & Cold Applications |
| • Infrared Heating Pad Systems | • Nebulizer Equipment & Supplies |
| • Neuromuscular Electrical Stimulators (nmes) | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Patient Lifts |
| • Seat Lift Mechanisms | • Surgical Dressings |
| • Tracheostomy Supplies | • Transcutaneous Electrical Nerve Stimulators (tens) Units |
| • Urological Supplies | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Standard Manual |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 101 S Tulpehocken St,
Pine Grove, Pennsylvania |
| Zip: | 17963-1011 |
| Phone Number: | 570-345-4966 |
Patients can reach Tri-valley Pharmacy, Incorporated at
101 S Tulpehocken St, Pine Grove, Pennsylvania or can
call on customer care at 570-345-4966.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.