Organization
WELLSPAN PHARMACY INC
Active
Organization
WELLSPAN PHARMACY INC
Active
Other names
Wellspan Pharmacy - Fairfield, Wellspan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN CHARNETSKI PHARMD (DIRECTOR)
(570) 262-6663
Entity
Organization
Contact information
Practice address
4910 FAIRFIELD RD STE B, SUITE 2, FAIRFIELD, PA 17320-9510
(717) 642-8812
(717) 642-6691
Mailing address
PO BOX 20129, YORK, PA 17402-0140
(717) 851-6903
(717) 851-5407
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP415301L
PA
333600000X
Pharmacy
PP415301L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP415301L
PA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007431520005
—
PA
01
—
3973282
NABP#
PA
01
—
PP415301L
PHARMACY LICENSE
PA
Enumeration date
10/17/2006
Last updated
08/14/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up