Schroder Fanzo Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SCHRODER FANZO INC

Doing business as

Medicine Shoppe

Practice address

129 S Main St
Lewistown, PA 17044-2120

Phone

(717) 247-2844

Fax

(717) 247-2845

NPI assigned

Oct 3, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathleen K Fanzo, RPH

Title

Owner Pharmacist

Phone

(717) 247-2844

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1023102332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S MAIN ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S MAIN ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442120",
            "telephone_number": "717-247-2844",
            "fax_number": "717-247-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHRODER FANZO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FANZO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "717-247-2844",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP415646L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3977329",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017970480001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle Marie Scharadin, MS, RDN, LDN
• Scheffinators Studio LLC
• Scheffinators Studio LLC
• Ron Schey, MD
• David Eugene Schooley, D.O.
• Alan R. Schulsinger, M.D.
• Sarah Scott, M.D.
• Amy Secrest
• Erin Michele Seddon
• Thomas Sekunda, PA-C

• Community/Retail Pharmacy in Lewistown, PA
• Providers in Lewistown, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.