Organization Active NPI

Carol's Specialty Shoppe

  • Prosthetic/Orthotic Supplier
  • Lebanon, PA
National Provider Identifier
1609060979
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CAROL'S SPECIALTY SHOPPE
Practice address
809 E Evergreen Rd
Lebanon, PA 17042-7928
Phone
(717) 273-5055
NPI assigned
Aug 30, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Mrs. Carol Nearing MaurerNPI 1932397486
Title
Owner
Phone
(717) 273-5055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

809 E Evergreen Rd
Lebanon, PA 17042-7928

Mailing address

809 E Evergreen Rd
Lebanon, PA 17042-7928
Phone (717) 273-5055

National Provider Directory

National Provider Directory
Tax ID family
Carol's Specialty Shoppe2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1609060979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 E EVERGREEN RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427928",
            "telephone_number": "717-273-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E EVERGREEN RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427928",
            "telephone_number": "717-273-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL'S SPECIALTY SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "NEARING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-273-5055",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.