Organization Active NPI

Hersheycare Inc

  • Long Term Care Pharmacy
  • Hershey, PA
National Provider Identifier
1124350897
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP482061 Issued in PA
Legal business name
HERSHEYCARE INC
Practice address
501 W Governor Rd Ste 200
Hershey, PA 17033-2219
Phone
(717) 534-1450
Fax
(717) 534-1707
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
David Kray
Title
Director
Phone
(717) 534-1300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X PP482061 PA Primary

Addresses

Primary practice location

501 W Governor Rd Ste 200
Hershey, PA 17033-2219

Mailing address

501 W Governor Rd Ste 200
Hershey, PA 17033-2219
Phone (717) 534-1450

Other identifiers 2

IdentifierTypeStateIssuer
1028281880001MedicaidPA
2126638OtherPK

Other names 1

  • HersheyCare Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201218001633 PA Part B Supplier - Mass Immunization (Roster Biller Only) 4880858083 Practice locations: Hershey, PA
O20220608000094 PA Part B Supplier - Pharmacy 4880858083 Practice locations: Hershey, PA

National Provider Directory

National Provider Directory

Locations

11 Briarcrest Sq
Hershey, PA 17033
Phone (717) 534-1450

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1124350897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W GOVERNOR RD STE 200",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332219",
            "telephone_number": "717-534-1450",
            "fax_number": "717-534-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W GOVERNOR RD STE 200",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332219",
            "telephone_number": "717-534-1450",
            "fax_number": "717-534-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERSHEYCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "KRAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-534-1300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP482061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028281880001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126638",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HersheyCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HersheyCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.