Active NPI
Minnich's Pharmacy Inc
Doing business as Medicine Shoppe York
- Community/Retail Pharmacy
- York, PA
National Provider Identifier
1952413965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MINNICH'S PHARMACY INC
- Doing business as
- Medicine Shoppe York
- Practice address
- 1698 S.Queen St.
York, PA 17403 - Phone
- (717) 846-0500
- Fax
- (717) 845-8767
- NPI assigned
- Aug 31, 2006
- Organization subpart
- Yes
- Parent organization
- MINNICH'S PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Deron E. Shultz, R.P.H.
- Title
- Ceo
- Phone
- (717) 848-2312
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PP412564L | PA | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | PP412564L | PA | |
| Pharmacy | 333600000X | PP412564L | PA | |
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | PP412564L | PA |
Addresses
Primary practice location
1698 S.Queen St.
York, PA 17403
Mailing address
1698 S.Queen St.
York, PA 17403
Phone (717) 846-0500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008749690001 | Medicaid | PA | |
| 3961794 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- Medicine Shoppe York
National Provider Directory
National Provider Directory- Tax ID family
- Minnichs Colo Pharm
- Part of
- Minnichs Colo Pharm
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Minnich's Continuing Care Pharmacy
- Long Term Care Pharmacy
- York, PA
- NPI 1497235196
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Pharmacist
- York, PA
- NPI 1356061634
-
- Pharmacist
- York, PA
- NPI 1437751245
-
- Pharmacist
- York, PA
- NPI 1366264939
-
- Pharmacist
- York, PA
- NPI 1942476437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708041600000",
"number": "1952413965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1698 S.QUEEN ST.",
"city": "YORK",
"state": "PA",
"postal_code": "17403",
"telephone_number": "717-846-0500",
"fax_number": "717-845-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1698 S.QUEEN ST.",
"city": "YORK",
"state": "PA",
"postal_code": "17403",
"telephone_number": "717-846-0500",
"fax_number": "717-845-8767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINNICH'S PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MINNICH'S PHARMACY INC",
"enumeration_date": "2006-08-31",
"last_updated": "2024-02-16",
"status": "A",
"authorized_official_last_name": "SHULTZ",
"authorized_official_first_name": "DERON",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "717-848-2312",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.P.H."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "PP412564L",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "PA",
"license": "PP412564L",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP412564L",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "PA",
"license": "PP412564L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008749690001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3961794",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine Shoppe York",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in York, PA
- Tanya L. Minich, CRNP
- Anthony Albert Minissale, D.O.
- Somer Minnich
- Minnich's Pharmacy Inc (Minnich's Colonial Pharmacy)
- Minnich's Pharmacy Inc (Minnich's Continuing Care Pharmacy)
- Amy Michelle Miranda, CRNA
- Estefania Isabel Miranda, DMD
- Howard A Mirsky, M.D.
- Kelly Leese Miserendino, PAC
- Misericordia Convalescent Home
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.