Organization Active NPI

GDD Pharmacy Services Inc

Doing business as Harrisburg Pharmacy

  • Community/Retail Pharmacy
  • Harrisburg, PA
National Provider Identifier
1669555223
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP415659L Issued in PA
Legal business name
GDD PHARMACY SERVICES INC
Doing business as
Harrisburg Pharmacy
Practice address
2645 N 3Rd St
Harrisburg, PA 17110-2001
Phone
(717) 232-0400
Fax
(717) 232-7590
NPI assigned
Oct 24, 2006
Last updated
Apr 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Mr. Darrin Wayne Silbaugh, RPH
Title
Pres
Phone
(717) 732-2112

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PP415659L PA Primary

Addresses

Primary practice location

2645 N 3Rd St
Harrisburg, PA 17110-2001

Mailing address

2645 N 3Rd St
Harrisburg, PA 17110-2001
Phone (717) 232-0400

Other identifiers 2

IdentifierTypeStateIssuer
0017986620001MedicaidPA
3977468OtherNCPDP

Other names 1

  • HARRISBURG PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180322000976 PA Part B Supplier - Mass Immunization (Roster Biller Only) 5496876542 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Harrisburg, PA; Pine Grove, PA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2645 N 3rd St
Ste 180
Harrisburg, PA 17110
Phone (717) 232-0400

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1669555223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 N 3RD ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102001",
            "telephone_number": "717-232-0400",
            "fax_number": "717-232-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 N 3RD ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102001",
            "telephone_number": "717-232-0400",
            "fax_number": "717-232-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDD PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "SILBAUGH",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "717-732-2112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415659L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017986620001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3977468",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARRISBURG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HARRISBURG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.