Organization Active NPI

Hanover Apothecary Inc.

  • Community/Retail Pharmacy
  • Hanover, PA
National Provider Identifier
1336276591
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP415041L Issued in PA
Legal business name
HANOVER APOTHECARY INC.
Practice address
310 Stock St
Suite 1
Hanover, PA 17331-2276
Phone
(717) 630-8835
Fax
(717) 630-8836
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Mr. Kerry Maloney
Title
Associate Counsel
Phone
(717) 231-8248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP415041L PA Primary

Addresses

Primary practice location

310 Stock St
Suite 1
Hanover, PA 17331-2276

Mailing address

310 Stock St
Suite 1
Hanover, PA 17331-2276
Phone (717) 630-8835

Other identifiers 1

IdentifierTypeStateIssuer
1018275330001MedicaidPA

National Provider Directory

National Provider Directory

Locations

310 Stock St
Ste 1
Hanover, PA 17331
Phone (717) 630-8835

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1336276591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 STOCK ST",
            "address_2": "SUITE 1",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312276",
            "telephone_number": "717-630-8835",
            "fax_number": "717-630-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STOCK ST",
            "address_2": "SUITE 1",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312276",
            "telephone_number": "717-630-8835",
            "fax_number": "717-630-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER APOTHECARY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "ASSOCIATE COUNSEL",
        "authorized_official_telephone_number": "717-231-8248",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415041L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018275330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.