Organization Active NPI

Emmaus Drug Store Inc

Doing business as Emmaus Drug Store

  • Pharmacy
  • Emmaus, PA
National Provider Identifier
1144811894
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
EMMAUS DRUG STORE INC
Doing business as
Emmaus Drug Store
Practice address
6 S 4TH St
Emmaus, PA 18049-2701
Phone
(610) 421-6400
NPI assigned
Jan 26, 2021
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Atif Sheikh
Title
Owner
Phone
(610) 421-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

6 S 4TH St
Emmaus, PA 18049-2701

Mailing address

6 S 4TH St
Emmaus, PA 18049-2701
Phone (610) 421-6400

Other names 1

  • Emmaus Drug Store Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20220509000329 PA Part B Supplier - Pharmacy 8628455995 Practice locations: Emmaus, PA
O20220922001153 PA DME Supplier - Pharmacy 8628455995 Practice locations: Emmaus, PA
O20250530002104 PA Part B Supplier - Mass Immunization (Roster Biller Only) 8628455995 Practice locations: Emmaus, PA

National Provider Directory

National Provider Directory
Tax ID family
Emmaus Drug Store2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6 S 4th St
Emmaus, PA 18049
Phone (610) 421-6400

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1144811894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S 4TH ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492701",
            "telephone_number": "610-421-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S 4TH ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492701",
            "telephone_number": "610-421-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMAUS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "SHEIKH",
        "authorized_official_first_name": "ATIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-421-6400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmaus Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emmaus, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.