Nells Family Market of East Berlin LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP415789L Issued in PA

Legal business name

NELLS FAMILY MARKET OF EAST BERLIN LLC

Doing business as

Nell's Pharmacy East Berlin

Practice address

30 Primrose LN
East Berlin, PA 17316-8505

Phone

(717) 259-6598

Fax

(717) 259-5439

NPI assigned

Feb 25, 2015

Organization subpart

No

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

Authorized official

Name

Paul Granger, RPH

Title

Director of Pharmacy

Phone

(717) 324-4924

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Nell's Pharmacy East Berlin Doing business as

Locations

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1205228442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NELL'S ACCOUNTING",
            "address_2": "600 ARSENAL ROAD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-854-1505",
            "fax_number": "914-407-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PRIMROSE LN",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173168505",
            "telephone_number": "717-259-6598",
            "fax_number": "717-259-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLS FAMILY MARKET OF EAST BERLIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "717-324-4924",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP415789L",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150483",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nell's Pharmacy East Berlin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Messinger, REGISTERED NURSE
• Ashlee Grace Metzger, PAC
• Natalie Ann Miller, CRNP
• Abigail Kristine Francisco Motter, CRNP
• Nell's, Inc. (Shurfine Pharmacy East Berlin)
• Northeast Adams Fire & EMS
• Jason Brian Orlak, HEARING HEALTH CARE
• Jodie Orwig, RDN, LDN
• Amber Pierce, CLC, IFC
• Kaylie Pierce, CPHT

• Pharmacy in East Berlin, PA
• Providers in East Berlin, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.