Steelton Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481091 Issued in PA

Legal business name

STEELTON PHARMACY LLC

Doing business as

STEELTON PHARMACY
Steelton Pharmacy & Gift Shop

Practice address

15 N Front St
Steelton, PA 17113

Phone

(717) 985-1300

Fax

(717) 985-9918

NPI assigned

Dec 8, 2006

Reactivated

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

David Kray

Title

Director

Phone

(717) 534-1300

Specialties & licenses 2

Addresses

Other names 2

• STEELTON PHARMACY Doing business as
• Steelton Pharmacy & Gift Shop Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• CK KC Inc

  • Community/Retail Pharmacy
  • Palmyra, PA
  • NPI 1740349216

  O20101119000370

  Same enrollment

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730248279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N FRONT ST",
            "city": "STEELTON",
            "state": "PA",
            "postal_code": "17113",
            "telephone_number": "717-985-1300",
            "fax_number": "717-985-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N FRONT ST",
            "city": "STEELTON",
            "state": "PA",
            "postal_code": "17113",
            "telephone_number": "717-985-1300",
            "fax_number": "717-985-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEELTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-07-21",
        "deactivation_date": "2017-07-18",
        "reactivation_date": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "KRAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-534-1300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481091L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEELTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Steelton Pharmacy & Gift Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodi Alyssa Slootsky, DMD
• Mark Hunter Smith
• Valery Maryellen Square
• Steelton Family Practice & Wellness Center
• Steelton Fire Department Emergency Medical Services
• Steelton-Highspire School District
• Maryjo Ellen Szada, MD
• The Program for Female Offenders
• Mindy P Unger, RT(R)
• Chelsea Nichole Valenziano, CRNP

• Community/Retail Pharmacy in Steelton, PA
• Providers in Steelton, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.