Organization Active NPI

SKH Management Co

Doing business as Stauffers of Kissel Hill Rohrerstown Pharmacy

  • Community/Retail Pharmacy
  • Lancaster, PA
National Provider Identifier
1356597074
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481848 Issued in PA
Legal business name
SKH MANAGEMENT CO
Doing business as
Stauffers of Kissel Hill Rohrerstown Pharmacy
Practice address
301 Rohrerstown Rd
Lancaster, PA 17603-2232
Phone
(717) 397-4710
Fax
(717) 735-9680
NPI assigned
Aug 13, 2008
Last updated
May 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
David Julian
Title
Assistant Fresh Foods Coo
Phone
(717) 626-4771

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PP481848 PA Primary

Addresses

Primary practice location

301 Rohrerstown Rd
Lancaster, PA 17603-2232

Mailing address

301 Rohrerstown Rd
Lancaster, PA 17603-2232
Phone (717) 397-4710

Other identifiers 2

IdentifierTypeStateIssuer
102222118001MedicaidPA
2116756OtherPK

Other names 1

  • Stauffers of Kissel Hill Rohrerstown Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930020609 PA DME Supplier - Pharmacy 7214136803 Practice locations: Lancaster, PA
O20140908000932 PA Part B Supplier - Mass Immunization (Roster Biller Only) 7214136803 Practice locations: Lancaster, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Stauffers of Kessel Hill Pharmacy301 Rohrerstown Rd, Lancaster, PA 17603-2232(717) 397-4710 Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Ostomy Supplies Does not accept assignmentParticipating since Aug 14, 2009

National Provider Directory

National Provider Directory

Locations

301 Rohrerstown Rd
Rohrerstown, PA 17603
Phone (717) 397-4710

Practitioners & affiliated clinicians

Practitioners 2

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": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1356597074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ROHRERSTOWN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032232",
            "telephone_number": "717-397-4710",
            "fax_number": "717-735-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ROHRERSTOWN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032232",
            "telephone_number": "717-397-4710",
            "fax_number": "717-735-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKH MANAGEMENT CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "JULIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ASSISTANT FRESH FOODS COO",
        "authorized_official_telephone_number": "717-626-4771"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102222118001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116756",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stauffers of Kissel Hill Rohrerstown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stauffers of Kissel Hill Rohrerstown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.