Organization Active NPI

Wellspan Pharmacy, Inc

  • Pharmacy
  • Biglerville, PA
National Provider Identifier
1356492177
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP410599L Issued in PA
Legal business name
WELLSPAN PHARMACY, INC
Practice address
3460 Biglerville Road
Biglerville, PA 17307
Phone
(717) 677-6600
Fax
(717) 677-9262
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Mrs. Melissa Mook
Title
Director - Wellspan Pharmacy, Inc.
Phone
(717) 851-5895

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PP410599L PA
Pharmacy 333600000X PP410599L PA Primary
Community/Retail Pharmacy 3336C0003X PP410599L PA

Addresses

Primary practice location

3460 Biglerville Road
Biglerville, PA 17307

Mailing address

3460 Biglerville Road
Biglerville, PA 17307
Phone (717) 677-6600

Other identifiers 1

IdentifierTypeStateIssuer
1007431520003MedicaidPA

Other names 1

  • WellSpan Pharmacy - Biglerville Doing business as

National Provider Directory

National Provider Directory

Locations

3460 Biglerville Rd
Biglerville, PA 17307
Phone (717) 677-6600

Practitioners & affiliated clinicians

Practitioners 1

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1356492177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 BIGLERVILLE ROAD",
            "city": "BIGLERVILLE",
            "state": "PA",
            "postal_code": "17307",
            "telephone_number": "717-677-6600",
            "fax_number": "717-677-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 BIGLERVILLE ROAD",
            "city": "BIGLERVILLE",
            "state": "PA",
            "postal_code": "17307",
            "telephone_number": "717-677-6600",
            "fax_number": "717-677-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPAN PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "MOOK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR - WELLSPAN PHARMACY, INC.",
        "authorized_official_telephone_number": "717-851-5895",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "PP410599L",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP410599L",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410599L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007431520003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan Pharmacy - Biglerville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Biglerville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.