Organization Active NPI

Neff Drugs 22 LLC

Doing business as Village Shires Pharmacy

  • Community/Retail Pharmacy
  • Holland, PA
National Provider Identifier
1457459257
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411026L Issued in PA
Legal business name
NEFF DRUGS 22 LLC
Doing business as
Village Shires Pharmacy
Practice address
1464 Buck Rd
Holland, PA 18966-2626
Phone
(215) 860-8000
Fax
(215) 860-7671
NPI assigned
Sep 20, 2006
Last updated
Dec 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Authorized official

Name
Joseph Ralston
Title
Owner
Phone
(215) 630-4650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP411026L PA Primary

Addresses

Primary practice location

1464 Buck Rd
Holland, PA 18966-2626

Mailing address

1464 Buck Rd
Holland, PA 18966-2626
Phone (215) 860-8000

Other identifiers 2

IdentifierTypeStateIssuer
1028837890001MedicaidPA
2143291OtherPK

Other names 1

  • Village Shires Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201222002341 PA Part B Supplier - Pharmacy 7719399492 Practice locations: Holland, PA

National Provider Directory

National Provider Directory
Tax ID family
Neff Drugs 22 LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1457459257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 BUCK RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662626",
            "telephone_number": "215-860-8000",
            "fax_number": "215-860-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 BUCK RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662626",
            "telephone_number": "215-860-8000",
            "fax_number": "215-860-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEFF DRUGS 22 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-630-4650"
    },
    "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": "PP411026L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028837890001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143291",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Shires Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.