Donegal Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP412746L Issued in PA

Legal business name

DONEGAL PHARMACY INC

Doing business as

Donegal Pharmacy

Practice address

181 Main Street
Donegal, PA 15628

Phone

(724) 593-2502

Fax

(724) 593-7000

NPI assigned

Jul 20, 2006

Last updated

Jun 9, 2022By 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

Mr. Jack H Shaffer Jr.

Title

Pharmacist / Vice President

Phone

(724) 593-2502

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Donegal Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Henry Shafffer, RPH

  • Pharmacist
  • Donegal, PA
  • NPI 1730944505
  NPD

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1114947025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "DONEGAL",
            "state": "PA",
            "postal_code": "156280159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MAIN STREET",
            "city": "DONEGAL",
            "state": "PA",
            "postal_code": "15628",
            "telephone_number": "724-593-2502",
            "fax_number": "724-593-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONEGAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHARMACIST / VICE PRESIDENT",
        "authorized_official_telephone_number": "724-593-2502",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412746L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3942720",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030370340001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LISENCE",
            "identifier": "PP412746L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donegal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcia Lynn Ainsley, DC
• Susan Renee Brown, LPT
• Christofano Associates LLC
• Christofano Associates LLC (Hayden's Pharmacy)
• Donegal Dental Center PC
• Dreamlife Recovery LLC
• Stephanie Sunshine Fissella
• Kelly Marisa Hess, PA
• Jason Hritz, PA-C
• Hughes Physical Therapy Services, LLC

• Community/Retail Pharmacy in Donegal, PA
• Providers in Donegal, 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 Jun 9, 2022; 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.