Stauffer'S Drug Store LTD

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP481855 Issued in PA

Legal business name

STAUFFER'S DRUG STORE LTD

Doing business as

Stauffer'S Village Apothecary

Practice address

433 S Kinzer Ave
New Holland, PA 17557-8736

Phone

(717) 355-6155

Fax

(717) 355-6156

NPI assigned

Feb 27, 2009

Organization subpart

No

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

Authorized official

Name

Joshua Stauffer

Title

Pharmacist

Phone

(717) 355-6155

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• STAUFFER'S VILLAGE APOTHECARY Doing business as

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278288000000",
    "number": "1386884567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 S KINZER AVE",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175578736",
            "telephone_number": "717-355-6155",
            "fax_number": "717-355-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S KINZER AVE",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175578736",
            "telephone_number": "717-355-6155",
            "fax_number": "717-355-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAUFFER'S DRUG STORE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2010-07-05",
        "status": "A",
        "authorized_official_last_name": "STAUFFER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "717-355-6155"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481855",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009997550004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3991785",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAUFFER'S VILLAGE APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer R Smucker, LPN
• Shweta Soni, MD
• Thomas Starr, MS, LPC
• Jeffry Loy Stauffer, PHARM.D.
• Joshua Hall Stauffer, PHARM.D.
• Stauffers Drug Store LTD (Stauffer's Drug Store)
• Stauffers Drug Store LTD (Stauffer'S LTC)
• Abby Stoltzfus, LMFT
• Amy R. Stoltzfus, MS, NCC
• Anne D Stoltzfus, PT, DPT

• Pharmacy in New Holland, PA
• Providers in New Holland, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.