Active NPI
Carol's Specialty Shoppe
- Prosthetic/Orthotic Supplier
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 600003485
- Legal business name
- CAROL'S SPECIALTY SHOPPE
- Practice address
- 809 E Evergreen Rd
Lebanon, PA 17042-7928 - Phone
- (717) 273-5055
- NPI assigned
- Jan 30, 2008
- Last updated
- Mar 10, 2008
- 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
- Carol N. Maurer
- Title
- Owner
- Phone
- (717) 273-5055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 600003485 | PA | Primary |
Addresses
Primary practice location
809 E Evergreen Rd
Lebanon, PA 17042-7928
Mailing address
809 E Evergreen Rd
Lebanon, PA 17042-7928
Phone (717) 273-5055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000212306 | Other | PA | HIGHMARK B S |
| 50017682 | Other | PA | BAPITAL BLUE CROSS |
National Provider Directory
National Provider Directory- Tax ID family
- Carol's Specialty Shoppe
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Lebanon, PA
- NPI 1609060979
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Prosthetic/Orthotic Supplier
- Lebanon, PA
- NPI 1932397486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205107200000",
"number": "1881871077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 E EVERGREEN RD",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427928",
"telephone_number": "717-273-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 E EVERGREEN RD",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427928",
"telephone_number": "717-273-5055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROL'S SPECIALTY SHOPPE",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2008-03-10",
"status": "A",
"authorized_official_last_name": "MAURER",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-273-5055"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "PA",
"license": "600003485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK B S",
"identifier": "000212306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BAPITAL BLUE CROSS",
"identifier": "50017682",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.