Deron Shultz

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP046051R Issued in PA

Practice address

976 S George St
York, PA 17403-3708

Phone

(717) 848-2312

NPI assigned

Aug 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minnich'S Pharmacy Inc

  • Community/Retail Pharmacy
  • York, PA
  • NPI 1255329231
  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1356061634",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "DERON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP046051R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.minnichspharmacy.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "976 S George St",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174033708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kylie Shreiner
• Frederick L Shrimp II, M.D.
• Alicia Jayne Shuey, PA-C
• Julianne Marie Shughrue, LAPC
• Amanda Christine Shultz, PA-C
• Erin Shultz, CRNA
• Isabella Concetta Shuster
• Michelle Shya, LCSW
• Mychelle Shymansky
• Erin Lynn Sibal, MA, LPC, BSL

• Pharmacist in York, PA
• Providers in York, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.