Organization Active NPI

Shea Enterprises

  • Community/Retail Pharmacy
  • Levittown, PA
National Provider Identifier
1922465277
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482634 Issued in PA
Legal business name
SHEA ENTERPRISES
Practice address
2235 Veterans Hwy
Levittown, PA 19056-3001
Phone
(215) 269-7000
Fax
(215) 269-7001
NPI assigned
Jan 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Charles Shea
Title
President
Phone
(215) 269-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP482634 PA Primary

Addresses

Primary practice location

2235 Veterans Hwy
Levittown, PA 19056-3001

Mailing address

2235 Veterans Hwy
Levittown, PA 19056-3001
Phone (215) 269-7000

Other identifiers 1

IdentifierTypeStateIssuer
2159436OtherPK

Other names 1

  • Charlie's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2235 Veterans Hwy
Levittown, PA 19056
Phone (215) 269-7000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1922465277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 VETERANS HWY",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190563001",
            "telephone_number": "215-269-7000",
            "fax_number": "215-269-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 VETERANS HWY",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190563001",
            "telephone_number": "215-269-7000",
            "fax_number": "215-269-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-269-7000"
    },
    "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": "PP482634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159436",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlie's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.