Stauffers Drug Store LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

STAUFFERS DRUG STORE LTD

Practice address

920 Church St Ste 100
Lebanon, PA 17046-4656

Phone

(717) 454-3530

Fax

(717) 450-4792

NPI assigned

Mar 27, 2019

Organization subpart

No

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

Authorized official

Name

Joshua Hall Stauffer, PHARMD

Title

Ceo

Phone

(717) 355-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• STAUFFERS DRUG STORE LEBANON Doing business as

Tax ID family

Stauffer'S LTC2 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.

• Stauffers Drug Store LTD

  • Long Term Care Pharmacy
  • New Holland, PA
  • NPI 1770896714
  NPD tax ID

Locations

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1235690835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 E MAIN ST",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175571282",
            "telephone_number": "717-355-9300",
            "fax_number": "717-355-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST STE 100",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170464656",
            "telephone_number": "717-454-3530",
            "fax_number": "717-450-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAUFFERS DRUG STORE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "STAUFFER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-355-9300",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "PP482867",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAUFFERS DRUG STORE LEBANON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sybil Irene Stambaugh, M.A.,RMT,CTRS
• Pamela M. Stammel, M.S.
• Brenda L Stanislaw, PA-C
• Stacy M Stark, DO
• Matthew Nicholas Stathis, PHARMD, RPH
• Thomas R Stebbins, PAC
• Emily Steckbeck
• Amy Stefanski, M.D.
• David Walter Steinke, D.D.S.
• Olivia Ann Stekervetz, MSOT, OTR

• Community/Retail Pharmacy in Lebanon, PA
• Providers in Lebanon, 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 Mar 27, 2019; 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.