Active NPI
Nells Family Market of Hanover LLC
- Community/Retail Pharmacy
- Hanover, PA
National Provider Identifier
1831581073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP415171L
- Legal business name
- NELLS FAMILY MARKET OF HANOVER LLC
- Practice address
- 1424 Baltimore St
Hanover, PA 17331-8529 - Phone
- (717) 637-1075
- Fax
- (717) 637-3625
- NPI assigned
- Feb 25, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Granger
- Title
- Director of Pharmacy
- Phone
- (717) 324-4924
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP415171L | PA | Primary |
Addresses
Primary practice location
1424 Baltimore St
Hanover, PA 17331-8529
Mailing address
1424 Baltimore St
Hanover, PA 17331-8529
Phone (717) 637-1075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2150485 | Other | PK |
Other names 1
- Shurfine Pharmacy Hanover
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429488000000",
"number": "1831581073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 BALTIMORE ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173318529",
"telephone_number": "717-637-1075",
"fax_number": "717-637-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 BALTIMORE ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173318529",
"telephone_number": "717-637-1075",
"fax_number": "717-637-3625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NELLS FAMILY MARKET OF HANOVER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-25",
"last_updated": "2015-04-20",
"status": "A",
"authorized_official_last_name": "GRANGER",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "717-324-4924"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP415171L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2150485",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shurfine Pharmacy Hanover",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.