| NPI | 1093722134 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-08-02 |
| Last Updated | 2017-12-11 |
| Authorized Official | Andrew Mubbala OWNER Phone: 7172133708 |
| Mailing Address | 2723 Agate St Harrisburg, PA 17110-2645 United States Phone: (717) 213-3708 | Fax: (717) 213-0956 📍 View Map |
| Primary Practice Address | 2723 Agate St Harrisburg, PA 17110-2645 United States Phone: (717) 213-3708 | Fax: (717) 213-0095 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | PA | 1017526390001 | — |
| Other (non-Medicare) | — | 2088014 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | PA | PP481584 |
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About NPI 1093722134
East Shore Pharmacy Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1093722134. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Harrisburg, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093722134?
NPI 1093722134 belongs to East Shore Pharmacy Inc., a Pharmacy, Community/Retail Pharmacy in Harrisburg, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093722134 active?
The current status of NPI 1093722134 in the NPPES registry is Active. The record was last updated on 2017-12-11.
What specialty is NPI 1093722134?
NPI 1093722134 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093722134?
You can verify NPI 1093722134 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093722134?
The primary practice address on file for NPI 1093722134 is 2723 Agate St, Harrisburg, PA 17110-2645. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093722134 issued?
NPI 1093722134 was first issued (enumerated) on 2006-08-02. The NPPES record was last updated on 2017-12-11.
Practice Location Map
East Shore Pharmacy Inc. is located at 2723 Agate St, Harrisburg, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as East Shore Pharmacy Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093722134. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PP481584 | PA |