Stephanie Lynn Over, RPH

Individual provider Active NPI Pharmacist · New Enterprise, PA

NPI 1013484252 · NPPES record last updated Oct 25, 2018

Key facts

NPI
1013484252
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP040083L (PA)
Practice address
3499 Brumbaugh Rd
New Enterprise, PA 16664-8820
Phone
(814) 766-0124
Fax
(814) 766-0126
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP040083LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Helie, LLC Past
since Feb 4, 2024
Accepting new patients
Helie, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP040083L PA Yes

Addresses

Primary practice location

3499 Brumbaugh Rd
New Enterprise, PA 16664-8820

Mailing address

3499 Brumbaugh Rd
New Enterprise, PA 16664-8820
Phone (814) 766-0124

Other identifiers

IdentifierTypeStateIssuer
593781OtherPANABP

Other names

  • Miss Stephanie Lynn Shaffer Other name

Other providers in New Enterprise, PA

All providers in New Enterprise, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.