Shamokin Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP414448L Issued in PA

Legal business name

SHAMOKIN PHARMACY LLC

Doing business as

The Medicine Shoppe Pharmacy

Practice address

605 N Shamokin St
Shamokin, PA 17872-6719

Phone

(570) 648-5242

Fax

(570) 648-3606

NPI assigned

Mar 26, 2016

Last updated

Jan 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chetan Patel

Title

Owner

Phone

(570) 648-5242

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Medicine Shoppe Pharmacy Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mena LLC

  dba The Medicine Shoppe Pharmacy

  • Community/Retail Pharmacy
  • Shillington, PA
  • NPI 1609207299

  Member Of

  NPD member

Practitioners 3

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.

• Sharon Abraczinskas

  • Pharmacist
  • Shamokin, PA
  • NPI 1598110744
  NPD (past)
• Thomas A Bradley, RPH

  • Pharmacist
  • Shamokin, PA
  • NPI 1386622678
  NPD (past)
• Robert N Hewlett Jr., RPH

  • Pharmacist
  • Shamokin, PA
  • NPI 1467521948
  NPD (past)

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1417319625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N SHAMOKIN ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178726719",
            "telephone_number": "570-648-5242",
            "fax_number": "570-648-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N SHAMOKIN ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178726719",
            "telephone_number": "570-648-5242",
            "fax_number": "570-648-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMOKIN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-26",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHETAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-648-5242"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP414448L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031121840001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159095",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanjay Sen MD PC
• Shannon Tara Scheuren, O.D.
• Catherine Seedor, LPN
• Sanjay K Sen, MD
• Shamokin Area School District
• Gurdial N Singh, M.D.
• Jaime Merida Singzon, M.D.
• Solomon C. Luo, MD, PC (Progressive Vision Institute)
• Robin Michelle Spangler, MD
• Special Home Care & Equipment Inc

• Community/Retail Pharmacy in Shamokin, PA
• Providers in Shamokin, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.