Organization Active NPI

Nell's, Inc.

Doing business as Shurfine Pharmacy East Berlin

  • Community/Retail Pharmacy
  • East Berlin, PA
National Provider Identifier
1467592816
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP415789L Issued in PA
Legal business name
NELL'S, INC.
Doing business as
Shurfine Pharmacy East Berlin
Practice address
30 Primrose LN
East Berlin, PA 17316-8505
Phone
(717) 259-6598
Fax
(717) 259-5439
NPI assigned
Feb 7, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Stanley Falenski, RPHNPI 1831161389
Title
Pharmacy Manager
Phone
(717) 259-6598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PP415789L PA Primary

Addresses

Primary practice location

30 Primrose LN
East Berlin, PA 17316-8505

Mailing address

30 Primrose LN
East Berlin, PA 17316-8505
Phone (717) 259-6598

Other identifiers 3

IdentifierTypeStateIssuer
1007781580005MedicaidPA
PP-415789-LOtherPASTATE PERMIT
3979171OtherOTHER ID NUMBER

Other names 1

  • SHURFINE PHARMACY EAST BERLIN Doing business as

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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1467592816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PRIMROSE LN",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173168505",
            "telephone_number": "717-259-6598",
            "fax_number": "717-259-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PRIMROSE LN",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173168505",
            "telephone_number": "717-259-6598",
            "fax_number": "717-259-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELL'S, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FALENSKI",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "717-259-6598",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415789L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007781580005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PERMIT",
            "identifier": "PP-415789-L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3979171",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHURFINE PHARMACY EAST BERLIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Berlin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.