Redner'S Markets, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PP412177L Issued in PA

Legal business name

REDNER'S MARKETS, INC.

Practice address

2977 State Route 22
Fredericksburg, PA 17026-9304

Phone

(717) 865-6566

Fax

(717) 865-1664

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Keller, MPH

Title

Contract & Compliance Coordinator

Phone

(610) 926-3129

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Redner's Pharmacy #23 Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Redner'S Markets Inc.

  • Community/Retail Pharmacy
  • Palmyra, PA
  • NPI 1487055984

  3274653670

  Same PAC ID
• Redner'S Markets Inc.

  • Community/Retail Pharmacy
  • Hegins, PA
  • NPI 1740399856

  3274653670

  Same PAC ID
• Redner'S Markets, Inc.

  • Community/Retail Pharmacy
  • Leesport, PA
  • NPI 1417042839

  3274653670

  Same PAC ID
• Redner'S Markets, Inc.

  • Pharmacy
  • Shenandoah, PA
  • NPI 1649275835

  3274653670

  Same PAC ID

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Redner'S Markets Inc.

  • Community/Retail Pharmacy
  • Palmyra, PA
  • NPI 1487055984

  O20110317000605

  Same enrollment
• Redner'S Markets Inc.

  • Community/Retail Pharmacy
  • Hegins, PA
  • NPI 1740399856

  O20110317000605

  Same enrollment
• Redner'S Markets, Inc.

  • Community/Retail Pharmacy
  • Leesport, PA
  • NPI 1417042839

  O20110317000605

  Same enrollment
• Redner'S Markets, Inc.

  • Pharmacy
  • Shenandoah, PA
  • NPI 1649275835

  O20110317000605

  Same enrollment

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

Tax ID family

Redners Market Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Redner'S Markets Inc.

  • Community/Retail Pharmacy
  • Palmyra, PA
  • NPI 1487055984
  NPD tax ID
• Redner'S Markets Inc.

  • Community/Retail Pharmacy
  • Hegins, PA
  • NPI 1740399856
  NPD tax ID
• Redner'S Markets, Inc.

  • Community/Retail Pharmacy
  • Leesport, PA
  • NPI 1417042839
  NPD tax ID
• Redner'S Markets, Inc.

  • Pharmacy
  • Shenandoah, PA
  • NPI 1649275835
  NPD tax ID

Locations

Practitioners 4

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

• Brenda Ann Campisano, RPH

  • Pharmacist
  • Palmyra, PA
  • NPI 1932770252
  NPD (past)
• Emily Horn

  • Licensed Practical Nurse
  • Palmyra, PA
  • NPI 1285219659
  NPD (past)
• Renee Marie Motsko, RPH

  • Pharmacist
  • Shenandoah, PA
  • NPI 1578882270
  NPD (past)
• Donald J Veglia, RPH

  • Pharmacist
  • Burnham, PA
  • NPI 1275605800
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1366544140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2977 STATE ROUTE 22",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "170269304",
            "telephone_number": "717-865-6566",
            "fax_number": "717-865-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2977 STATE ROUTE 22",
            "city": "FREDERICKSBURG",
            "state": "PA",
            "postal_code": "170269304",
            "telephone_number": "717-865-6566",
            "fax_number": "717-865-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDNER'S MARKETS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CONTRACT & COMPLIANCE COORDINATOR",
        "authorized_official_telephone_number": "610-926-3129",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP412177L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007522960008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3941487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redner's Pharmacy #23",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pinnacle Health Medical Services
• Christopher Pond
• Melissa Marie Pruner, PA-C
• Jennifer Ransil
• Daniela Jean Reddinger, FNP-BC
• John B Rose, LMFT
• Elizabeth Roserie, D.C
• Carol D Sears, MD
• Juanita Siegrist
• Janet Stauffer, LMFT, LSW, AAMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.