Minnich's Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411604L Issued in PA

Legal business name

MINNICH'S PHARMACY INC

Doing business as

Minnich's Colonial Pharmacy

Practice address

976 S George St
York, PA 17403-3708

Phone

(717) 848-2312

Fax

(717) 854-9501

NPI assigned

Oct 12, 2005

Organization subpart

Yes

Parent organization

MINNICH'S PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Mr. Scott J. Miller, PHARMACISTNPI 1023520376

Title

President

Phone

(717) 848-2312

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Minnich's Colonial Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Minnichs Colo Pharm

Locations

Practitioners 5

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.

• Scott J Miller, R.PH

  • Pharmacist
  • York, PA
  • NPI 1023520376
  NPD (past) Authorized official
• Elizabeth A Dotzel, PHARM.D.

  • Pharmacist
  • York, PA
  • NPI 1124372701
  NPD (past)
• Peyton Nicholas Gibbons, PHARMD

  • Pharmacist
  • York, PA
  • NPI 1861376816
  NPD (past)
• Jason Daniel Hall, PHARM.D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • York, PA
  • NPI 1487417283
  NPD (past)
• Deron Shultz

  • Pharmacist
  • York, PA
  • NPI 1356061634
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1255329231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033708",
            "telephone_number": "717-848-2312",
            "fax_number": "717-854-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033708",
            "telephone_number": "717-848-2312",
            "fax_number": "717-854-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNICH'S PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINNICH'S PHARMACY INC",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-848-2312",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP411604L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411604L",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP411604L",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "PA",
            "license": "PP411604L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012134610002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3960968",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnich's Colonial Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Minnich's Colonial Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Lynn Millsaps, FNP-C
• Samantha Belle Milway
• Tanya L. Minich, CRNP
• Anthony Albert Minissale, D.O.
• Somer Minnich
• Minnich's Pharmacy Inc (Minnich's Continuing Care Pharmacy)
• Minnich's Pharmacy Inc (Medicine Shoppe York)
• Amy Michelle Miranda, CRNA
• Estefania Isabel Miranda, DMD
• Howard A Mirsky, M.D.

• Community/Retail Pharmacy in York, PA
• Providers in York, 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 Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.