Organization Active NPI

Nells Family Market of Walnut Bottom LLC

Doing business as Shurfine Pharmacy Walnut Bottom

  • Community/Retail Pharmacy
  • Carlisle, PA
National Provider Identifier
1619369840
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481485L Issued in PA
Legal business name
NELLS FAMILY MARKET OF WALNUT BOTTOM LLC
Doing business as
Shurfine Pharmacy Walnut Bottom
Practice address
950 Walnut Bottom Rd
Carlisle, PA 17015-7636
Phone
(717) 243-3468
Fax
(717) 243-4610
NPI assigned
Feb 25, 2015
Last updated
Sep 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Paul Granger
Title
Director of Pharmacy
Phone
(717) 324-4924

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PP481485L PA Primary

Addresses

Primary practice location

950 Walnut Bottom Rd
Carlisle, PA 17015-7636

Mailing address

950 Walnut Bottom Rd
Carlisle, PA 17015-7636
Phone (717) 243-3468

Other identifiers 1

IdentifierTypeStateIssuer
2150484OtherPK

Other names 1

  • Shurfine Pharmacy Walnut Bottom Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1619369840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WALNUT BOTTOM RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157636",
            "telephone_number": "717-243-3468",
            "fax_number": "717-243-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WALNUT BOTTOM RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157636",
            "telephone_number": "717-243-3468",
            "fax_number": "717-243-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLS FAMILY MARKET OF WALNUT BOTTOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "717-324-4924"
    },
    "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": "PP481485L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150484",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shurfine Pharmacy Walnut Bottom",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.