Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mainline Pharmacy Ebensburg LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1184993040

Mainline Pharmacy Ebensburg LLC is an Addiction (Substance Use Disorder) Counselor in Ebensburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3720 New Germany Rd
Ebensburg, PA 15931-1862
Phone: (814) 472-9390
Fax: (814) 472-1166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PP412694L (PA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (PA)
Health Educator Taxonomy 174H00000X (PA)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1184993040
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Decriscio — Cfo · (814) 408-6800
Other names Mainline Pharmacy; Mainline Pharmacy
NPI enumeratedDecember 22, 2011
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022
Mailing address1207 Second Street, Cresson, PA 16630-0058

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