Active NPI
Jack Henry Shafffer, RPH
- Pharmacist
- Donegal, PA
National Provider Identifier
1730944505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP043337L
- Practice address
- 181 Main Street
Donegal, PA 15628-0159 - Phone
- (724) 593-2502
- Fax
- (724) 593-7000
- NPI assigned
- Feb 20, 2024
- Last updated
- Feb 20, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP043337L | PA | Primary |
Addresses
Primary practice location
181 Main Street
Donegal, PA 15628-0159
Mailing address
PO Box 159
Donegal, PA 15628-0159
Phone (724) 593-2502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP043337L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donegal Pharmacy Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1730944505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 159",
"city": "DONEGAL",
"state": "PA",
"postal_code": "156280159",
"telephone_number": "724-593-2502",
"fax_number": "724-593-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 MAIN STREET",
"city": "DONEGAL",
"state": "PA",
"postal_code": "156280159",
"telephone_number": "724-593-2502",
"fax_number": "724-593-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFFER",
"first_name": "JACK",
"middle_name": "HENRY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP043337L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Donegal, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.