Organization Active NPI

Nells Family Market of Hanover LLC

  • Community/Retail Pharmacy
  • Hanover, PA
National Provider Identifier
1831581073
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP415171L Issued in PA
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

Updated by the provider on Apr 20, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2150485OtherPK

Other names 1

  • Shurfine Pharmacy Hanover Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.