NPIMap

Organization Active NPI

Medical Shoppe LTD

Doing business as Stephens Pharmacy

  • Long Term Care Pharmacy
  • Honesdale, PA
National Provider Identifier
1639865884
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MEDICAL SHOPPE LTD
Doing business as
Stephens Pharmacy
Practice address
1101 Main St
Honesdale, PA 18431-1907
Phone
(570) 253-7700
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Todd J Stephens
Title
Coo
Phone
(570) 253-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1101 Main St
Honesdale, PA 18431-1907

Mailing address

1101 Main St
Honesdale, PA 18431-1907
Phone (570) 253-7700

Other names 1

  • Stephens Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Shoppe LTD2 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.

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1639865884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MAIN ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311907",
            "telephone_number": "570-253-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MAIN ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311907",
            "telephone_number": "570-253-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SHOPPE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "570-253-7700"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephens Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.