MEDICAL SHOPPE LTD (NPI# 1982603189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982603189 |
| Entity Type | Organization |
| Organization Name | MEDICAL SHOPPE LTD |
| Other Organization Name | STEPHENS PHARMACY |
| Practice Address |
1101 Main St Honesdale PA 18431-1907 |
| Mailing Address |
1101 Main St. Honesdale PA 18431 |
| Practice Telephone | 5702537770 |
| Practice Fax Number | 5702517809 |
| Mailing Telephone | 5702537770 |
| Mailing Fax Number | 5702517809 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-08-24 |
| Authorized Official Name | JUDITH A STEPHENS (PRESIDENT) |
| Authorized Official Telephone | 5702537700 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PP414702L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007436710003 | 05 |
| Other Name | Type Code |
|---|---|
| Stephens Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578562708 | Medical Shoppe Ltd | Pharmacy | 1103 Main St., Honesdale, PA 18431 | 2005-07-19 |
| Street Address |
1101 MAIN ST |
| City | HONESDALE |
| State | PA |
| Zip Code | 18431-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982061859 | Edward Lavin | Pharmacist | 1101 Main St, Honesdale, PA 18431-1907 | 2016-01-24 |
| 1609233576 | Susan Lavin | Pharmacist | 1101 Main St, Honesdale, PA 18431-1907 | 2016-01-24 |
| 1336506492 | Thomas John Osborne | Pharmacist | 1101 Main St, Honesdale, PA 18431-1907 | 2016-01-20 |
| 1043677495 | Wayne Stephens | Pharmacist | 1101 Main St, Honesdale, PA 18431-1907 | 2016-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487828927 | Sarah Catherine Eibach | Social Worker | 190 Delaware Street, Honesdale, PA 18431 | 2008-04-16 |
| 1437369220 | Michael C Rogers | Dentist | 3373 Lake Ariel Highway, Honesdale, PA 18431 | 2007-05-23 |
| 1053531079 | Matthew James Downey | Internal Medicine | 1860 Fair Avenue, Suite A, Honesdale, PA 18431 | 2007-05-01 |
| 1114049335 | Philip C. Gutherz, Md | Internal Medicine | 700 Maple Avenue, 2nd Floor, Honesdale, PA 18431 | 2007-04-06 |
| 1790806818 | Krina Ennis Pratt | Physical Therapist | Ellen Memorial Health Care Center, 23 Ellen Memorial Lane, Honesdale, PA 18431 | 2007-04-03 |
| 1255465977 | Leonard Weiss | Optometrist | 928 Church St, Honesdale, PA 18431 | 2007-03-15 |
| 1023143724 | Rise Beth Bill | Social Worker | 602 Church Street, Honesdale Wellness Ctr, Honesdale, PA 18431 | 2007-02-22 |
| 1790842375 | Lawrence G Caruth Dmd Assoc | Dentist | 3025 Lake Ariel Hwy, Honesdale, PA 18431 | 2007-01-02 |
| 1225194657 | David Michael Boldish | Dentist | 1325 North Main Street, Honesdale, PA 18431 | 2006-12-29 |
| 1497813562 | George J Gustainis | Family Medicine | 3196 Lake Ariel Hwy, Honesdale, PA 18431 | 2006-12-04 |
| Find all providers in zip 18431 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437180411 | K Mart Corp | Pharmacy | 650 Old Willow Ave Ste N, Honesdale, PA 18431-4218 | 2006-07-06 |
| 1578562708 | Medical Shoppe Ltd | Pharmacy | 1103 Main St., Honesdale, PA 18431 | 2005-07-19 |
| 1689701120 | Wayne Health Services, Inc | Pharmacy | 600 Maple Ave, Suite 11, Honesdale, PA 18431 | 2007-02-28 |
| 1326175290 | Wayne Memorial Hospital Pharmacy | Pharmacy | 601 Park St, Honesdale, PA 18431-1445 | 2007-02-27 |
| 1518039312 | Robert E Howell | Pharmacy | 600 Maple Ave, Honesdale, PA 18431-1459 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506561 | Temple Community Pharmacy | Pharmacy | 3535 N 5th Street Hwy Ste 2, Reading, PA 19605-1703 | 2020-07-29 |
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1386269033 | San Juan Pharmacy LLC | Pharmacy | 200 W Buttonwood St, Reading, PA 19601-2603 | 2020-06-09 |
| 1831719319 | Mark Conklin | Pharmacy | 127 Greenbriar Dr, Wexford, PA 15090-7322 | 2020-04-24 |
| 1912536517 | Hsjc LLC | Pharmacy | 4165 N Franklin St, Philadelphia, PA 19140-2207 | 2020-04-06 |
| 1962036806 | Care Discount Pharmacy | Pharmacy | 5610 Derry St Ste 5, Harrisburg, PA 17111-3518 | 2020-03-01 |
| 1114564945 | Priority Care Rx LLC | Pharmacy | 127 S 5th St Ste 190, Quakertown, PA 18951-1674 | 2019-11-27 |
| 1326683707 | Vista Pharmacy LLC | Pharmacy | 938 N 8th St, Reading, PA 19604-2308 | 2019-11-09 |
| 1750926119 | Dharm Nandan LLC | Pharmacy | 3808 Morrell Ave, Philadelphia, PA 19114-1915 | 2019-11-08 |
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.