Organization Active NPI

Choice Critical Care RX LLC

  • Long Term Care Pharmacy
  • East Berlin, PA
National Provider Identifier
1508852120
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP414600L Issued in PA
Legal business name
CHOICE CRITICAL CARE RX LLC
Practice address
330 North Ave
East Berlin, PA 17316-7831
Phone
(717) 630-2773
Fax
(717) 630-2824
NPI assigned
Sep 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Paul Minnich
Title
Pharmacy Manager
Phone
(717) 630-2773

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Pharmacy 333600000X PP414600L PA
Long Term Care Pharmacy 3336L0003X PP414600L PA Primary

Addresses

Primary practice location

330 North Ave
East Berlin, PA 17316-7831

Mailing address

330 North Ave
East Berlin, PA 17316-7831
Phone (717) 630-2773

Other identifiers 2

IdentifierTypeStateIssuer
1037377490001MedicaidPA
7812580001OtherPANSC

Other names 1

  • CHOICE CRITICAL CARE LTC PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200127000476 PA Part B Supplier - Mass Immunization (Roster Biller Only) 4284069998 Practice locations: East Berlin, PA
O20200519000549 PA DME Supplier - Pharmacy 4284069998 Practice locations: East Berlin, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Choice Critical Care LTC Pharmacy330 North Ave, East Berlin, PA 17316-7831(717) 630-2773 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Enteral Nutrients|Enteral Equipment and/or Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Sep 9, 2019

National Provider Directory

National Provider Directory

Locations

330 North Ave
East Berlin, PA 17316
Phone (717) 630-2773

10 S 6th St
McSherrystown, PA 17344
Phone (717) 630-2773

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1508852120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 NORTH AVE",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173167831",
            "telephone_number": "717-630-2773",
            "fax_number": "717-630-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 NORTH AVE",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173167831",
            "telephone_number": "717-630-2773",
            "fax_number": "717-630-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE CRITICAL CARE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "MINNICH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "717-630-2773"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP414600L",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP414600L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037377490001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "7812580001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOICE CRITICAL CARE LTC PHARMACY",
            "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 Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.