Organization Active NPI

Earl W Rhoads

  • Community/Retail Pharmacy
  • Palmyra, PA
National Provider Identifier
1972663086
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EARL W RHOADS
Practice address
30 W Main St
Palmyra, PA 17078-1627
Phone
(717) 838-6355
Fax
(717) 832-0728
NPI assigned
Dec 11, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Earl W Rhoads, R.PHNPI 1013016807
Title
Owner
Phone
(717) 838-6355

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP413992L PA
Community/Retail Pharmacy 3336C0003X PA Primary

Addresses

Primary practice location

30 W Main St
Palmyra, PA 17078-1627

Mailing address

30 W Main St
Palmyra, PA 17078-1627
Phone (717) 838-6355

Other identifiers 2

IdentifierTypeStateIssuer
0011045290002MedicaidPA
3954915OtherPANCPDP #

National Provider Directory

National Provider Directory

Locations

30 W Main St
Palmyra, PA 17078
Phone (717) 838-6355

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972663086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MAIN ST",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170781627",
            "telephone_number": "717-838-6355",
            "fax_number": "717-832-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W MAIN ST",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170781627",
            "telephone_number": "717-838-6355",
            "fax_number": "717-832-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL W RHOADS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RHOADS",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-838-6355",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413992L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011045290002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3954915",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.