NPIMap

Organization Active NPI

Nells, Inc.

Doing business as Shurfine Pharmacy

  • Community/Retail Pharmacy
  • Sinking Spring, PA
National Provider Identifier
1336259647
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP415482L Issued in PA
Legal business name
NELLS, INC.
Doing business as
Shurfine Pharmacy
Practice address
4724 Penn Ave
Sinking Spring, PA 19608-9672
Phone
(610) 678-6610
Fax
(610) 678-7710
NPI assigned
Aug 30, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Darrell Rosenberger
Title
Pharmacy Manager
Phone
(610) 678-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP415482L PA Primary

Addresses

Primary practice location

4724 Penn Ave
Sinking Spring, PA 19608-9672

Mailing address

4724 Penn Ave
Sinking Spring, PA 19608-9672
Phone (610) 678-6610

Other identifiers 5

IdentifierTypeStateIssuer
3975402OtherPANCPDP
0397540OtherPAPACE
1007781580001OtherPAPROMISE ID
PP415482LOtherPASTATE LICENSE
01726823MedicaidPA

Other names 1

  • Shurfine Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shurfine Walnut Bottom7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

4724 Penn Ave
Sinking Spring, PA 19608
Phone (610) 678-6610

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1336259647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 PENN AVE",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196089672",
            "telephone_number": "610-678-6610",
            "fax_number": "610-678-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 PENN AVE",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196089672",
            "telephone_number": "610-678-6610",
            "fax_number": "610-678-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ROSENBERGER",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "610-678-6610"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415482L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3975402",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACE",
            "identifier": "0397540",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE ID",
            "identifier": "1007781580001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PP415482L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01726823",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shurfine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sinking Spring, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.