NPIMap

Organization Active NPI

Brockie Healthcare Inc

  • Long Term Care Pharmacy
  • Hanover, PA
National Provider Identifier
1629133046
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP481482 Issued in PA
Legal business name
BROCKIE HEALTHCARE INC
Practice address
100 Homewood Way
Hanover, PA 17331-7860
Phone
(717) 632-5000
Fax
(717) 637-5020
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Eric Shelley, RPH
Title
VP of Opr
Phone
(717) 848-3445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PP481482 PA Primary

Addresses

Primary practice location

100 Homewood Way
Hanover, PA 17331-7860

Mailing address

100 Homewood Way
Hanover, PA 17331-7860
Phone (717) 632-5000

Other identifiers 2

IdentifierTypeStateIssuer
2087369OtherPK
1007508270014MedicaidPA

Other names 1

  • BROCKIE PHARMATECH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brockie Healthcare Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1629133046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOMEWOOD WAY",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317860",
            "telephone_number": "717-632-5000",
            "fax_number": "717-637-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOMEWOOD WAY",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317860",
            "telephone_number": "717-632-5000",
            "fax_number": "717-637-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKIE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "SHELLEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "VP OF OPR",
        "authorized_official_telephone_number": "717-848-3445",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP481482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087369",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007508270014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROCKIE PHARMATECH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.