NPIMap

Organization Active NPI

Nells Inc

  • Pharmacy
  • Hanover, PA
National Provider Identifier
1407922164
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP415171L Issued in PA
Legal business name
NELLS INC
Practice address
1424 Baltimore St
Hanover, PA 17331-8529
Phone
(717) 637-1075
Fax
(717) 637-3625
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Paul Granger
Title
Pharmacy Supervisor
Phone
(610) 678-8867

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP415171L PA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1424 Baltimore St
Hanover, PA 17331-8529

Mailing address

1424 Baltimore St
Hanover, PA 17331-8529

Other identifiers 3

IdentifierTypeStateIssuer
1007781580010OtherPAMEDICAID 2
01587407MedicaidPA
3971719OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Shurfine Walnut Bottom7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1424 Baltimore St
Hanover, PA 17331
Phone (717) 637-0607

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1407922164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 BALTIMORE ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173318529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 BALTIMORE ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173318529",
            "telephone_number": "717-637-1075",
            "fax_number": "717-637-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "610-678-8867"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP415171L",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID 2",
            "identifier": "1007781580010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01587407",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3971719",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

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