Doris Ella Seasholtz

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP038166L Issued in PA

Practice address

Route 11
Synergy Grandview Pharmacy Inc
Northumberland, PA 17857

Phone

(570) 473-7506

Fax

(570) 473-9336

NPI assigned

Jul 27, 2009

Last updated

Jul 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Doris Ella Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1710117643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 GEORGE LN",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178708110",
            "telephone_number": "570-884-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 11",
            "address_2": "SYNERGY GRANDVIEW PHARMACY INC",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "17857",
            "telephone_number": "570-473-7506",
            "fax_number": "570-473-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEASHOLTZ",
        "first_name": "DORIS",
        "middle_name": "ELLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP038166L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORIS",
            "last_name": "CLARK",
            "middle_name": "ELLA",
            "prefix": "MISS",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• R M Crane DDS PC
• Rachel Reichley, OTR/L
• Hannah Roberts
• Kristy A Sands
• Robert E Schaffer-Neitz, MS, CCC-SLP
• Shea Alana Sechman, LCSW
• Tiara D. Shipe, P.T.
• Benjamin Edward Shoch, MA, NCC, LPC
• April C Showver, MOTR/L
• Tiffanie Mae Snyder, RN

• Pharmacist in Northumberland, PA
• Providers in Northumberland, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.