Organization Active NPI

Sheeley'S Drug Store Inc

  • Community/Retail Pharmacy
  • Scranton, PA
National Provider Identifier
1073519906
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412267L Issued in PA
Legal business name
SHEELEY'S DRUG STORE INC
Doing business as
Sheeley's Drug Store,Inc.
Practice address
539 Linden St
Scranton, PA 18503-1605
Phone
(570) 342-8936
Fax
(570) 343-1455
NPI assigned
Jun 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Lori HartNPI 1205117645
Title
RPH, Pres
Phone
(570) 342-8936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP412267L PA Primary

Addresses

Primary practice location

539 Linden St
Scranton, PA 18503-1605

Mailing address

539 Linden St
Scranton, PA 18503-1605
Phone (570) 342-8936

Other identifiers 1

IdentifierTypeStateIssuer
2130496OtherPK

Other names 1

  • Sheeley's Drug Store,Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930099786 PA DME Supplier - Pharmacy 2163541269 Practice locations: Scranton, PA
O20101118000081 PA Part B Supplier - Pharmacy 2163541269 Practice locations: Scranton, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sheeley'S Drug Store Inc539 Linden St, Scranton, PA 18503-1605(570) 342-8936 Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Sep 25, 2000

National Provider Directory

National Provider Directory

Locations

539 Linden St
Scranton, PA 18503
Phone (570) 342-8936

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1073519906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 LINDEN ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031605",
            "telephone_number": "570-342-8936",
            "fax_number": "570-343-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 LINDEN ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031605",
            "telephone_number": "570-342-8936",
            "fax_number": "570-343-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEELEY'S DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "RPH, PRES",
        "authorized_official_telephone_number": "570-342-8936"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412267L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130496",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheeley's Drug Store,Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.