Shawn Kendig

Individual provider Active NPI Pharmacist · Elizabethville, PA

NPI 1528958287 · NPPES record last updated Jul 5, 2025

Key facts

NPI
1528958287
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP457362 (PA)
Practice address
200 Kocher LN
Elizabethville, PA 17023-8716
Phone
(717) 362-4379
NPI assigned
Jul 5, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RP457362PAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP457362 PA Yes

Addresses

Primary practice location

200 Kocher LN
Elizabethville, PA 17023-8716

Mailing address

200 Kocher LN
Elizabethville, PA 17023-8716
Phone (717) 362-4379

Other providers in Elizabethville, PA

All providers in Elizabethville, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.