The RX Shoppe Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481326 Issued in PA

Legal business name

THE RX SHOPPE INC

Doing business as

The RX Shoppe Inc

Practice address

672 Main St
Lykens, PA 17048-1309

Phone

(717) 453-7662

Fax

(717) 453-7999

NPI assigned

Jul 30, 2006

Last updated

Apr 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Killoran, B.S.P.

Title

Pharmacy Manager

Phone

(717) 919-8936

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• THE RX SHOPPE INC Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1639184237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 MAIN ST",
            "city": "LYKENS",
            "state": "PA",
            "postal_code": "170481309",
            "telephone_number": "717-453-7662",
            "fax_number": "717-453-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 MAIN ST",
            "city": "LYKENS",
            "state": "PA",
            "postal_code": "170481309",
            "telephone_number": "717-453-7662",
            "fax_number": "717-453-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RX SHOPPE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "KILLORAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "717-919-8936",
        "authorized_official_credential": "B.S.P."
    },
    "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": "PP481326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2086792",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008927890001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE RX SHOPPE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lykens, PA
• Providers in Lykens, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.