Organization Active NPI

Nockley Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Hanover Township, PA
National Provider Identifier
1700922325
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481678 Issued in PA
Legal business name
NOCKLEY FAMILY PHARMACY INC
Practice address
1198 S Main St
Hanover Township, PA 18706-4030
Phone
(570) 208-5500
Fax
(570) 208-5490
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
David Nockley, PHRMDNPI 1326247792
Title
Owner
Phone
(570) 814-1832

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP481678 PA Primary

Addresses

Primary practice location

1198 S Main St
Hanover Township, PA 18706-4030

Mailing address

1198 S Main St
Hanover Township, PA 18706-4030
Phone (570) 208-5500

Other identifiers 1

IdentifierTypeStateIssuer
2081761OtherPK

Other names 1

  • NOCKLEY FAMILY PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070716000125 PA Part B Supplier - Mass Immunization (Roster Biller Only) 2567562887 Practice locations: Hanover Township, PA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1700922325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 S MAIN ST",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187064030",
            "telephone_number": "570-208-5500",
            "fax_number": "570-208-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 S MAIN ST",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187064030",
            "telephone_number": "570-208-5500",
            "fax_number": "570-208-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOCKLEY FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "NOCKLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-814-1832",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOCKLEY FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.