Individual provider Active NPI

Donald Thomas McMyne, R.PH.

  • Pharmacist
  • Hanover, PA
National Provider Identifier
1639448038
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP438334 Issued in PA
Practice address
310 Stock St Ste 1
Hanover, PA 17331-2276
Phone
(717) 630-8835
Fax
(717) 630-8836
NPI assigned
Dec 14, 2011
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP438334 PA Primary

Addresses

Primary practice location

310 Stock St Ste 1
Hanover, PA 17331-2276

Mailing address

40 V Twin Dr
Suite 107
Gettysburg, PA 17325-7875
Phone (717) 339-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP438334PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hanover Apothecary Inc. CurrentSince Nov 20, 2022 Accepting new patients
Wellspan Pharmacy, Inc. Past Accepting new patients
Wellspan Pharmacy, Inc. Past Accepting new patients

Locations

310 Stock St
Ste 1
Hanover, PA 17331
Phone (717) 630-8835

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1639448038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 V TWIN DR",
            "address_2": "SUITE 107",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257875",
            "telephone_number": "717-339-2600",
            "fax_number": "717-339-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STOCK ST STE 1",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312276",
            "telephone_number": "717-630-8835",
            "fax_number": "717-630-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMYNE",
        "first_name": "DONALD",
        "middle_name": "THOMAS",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-14",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 18, 2022; 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.