MEDICAL SHOPPE LTD NPI 1982603189

NPI Details

MEDICAL SHOPPE LTD is a pharmacy in Honesdale, PA. The provider is 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. MEDICAL SHOPPE LTD NPI is 1982603189. The provider is registered as an organization entity type.
The provider Is Doing Business As Stephens Pharmacy.

The provider's business location address is:

1101 MAIN ST
HONESDALE, PA
ZIP 18431-907
Phone: (570) 253-7770
Fax: (570) 251-7809

The provider's authorized official is Judith A Stephens .
The authorized official title is President and has the following contact phone number (570) 253-7700.

The CLIA number assigned to this NPI record is 39D2215189 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Fee covid-19 vac 14 res (HCPCS:0134A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
• Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 7/19/2005 and was last updated on 8/24/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.