Active NPI
Emmaus Drug Store Inc
Doing business as Emmaus Drug Store
- Pharmacy
- Emmaus, PA
National Provider Identifier
1144811894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Store
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.
-
- Pharmacist
- Emmaus, PA
- NPI 1841964475
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
- East Penn Medical Center
- East Penn School District
- Jeanette Donna Egan, MS,LPC, CAC-D,CCDP-D
- Jessica L. Elliott
- Kristi Danielle Elser, M.A.
- Emmaus Drug Store Inc (Emmaus Drug Store)
- Emmaus Eye Care
- Emmaus Healing Arts Center, LLC
- Empower Care Services LLC
- Empower Nutrition & Wellness, LLC (Empower Nutrition & Wellness)
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.