NPIMap

Organization Active NPI

Sheehans Pharmacy Inc

  • Community/Retail Pharmacy
  • Plains, PA
National Provider Identifier
1639399330
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412266L Issued in PA
Legal business name
SHEEHANS PHARMACY INC
Practice address
79 E Carey St
Plains, PA 18705-2007
Phone
(570) 823-3151
Fax
(570) 823-6742
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Charles Obeid, RPHNPI 1437267069
Title
President
Phone
(570) 823-3151

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP412266L PA Primary

Addresses

Primary practice location

79 E Carey St
Plains, PA 18705-2007

Mailing address

79 E Carey St
Plains, PA 18705-2007

Other identifiers 2

IdentifierTypeStateIssuer
3909136OtherOTHER ID NUMBER
0005789130001MedicaidPA

Other names 1

  • SHEEHANS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080903000083 PA Part B Supplier - Mass Immunization (Roster Biller Only) 2264508001 Practice locations: Plains, PA
O20100930027551 PA DME Supplier - Pharmacy 2264508001 Practice locations: Plains, PA

National Provider Directory

National Provider Directory
Tax ID family
Sheehans Pharmacy Inc2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1639399330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 E CAREY ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187052007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 E CAREY ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187052007",
            "telephone_number": "570-823-3151",
            "fax_number": "570-823-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEHANS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "OBEID",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-823-3151",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412266L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3909136",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005789130001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHEEHANS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plains, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.