CK-KC LTC, INC (NPI# 1548369028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548369028 |
| Entity Type | Organization |
| Organization Name | CK-KC LTC, INC |
| Other Organization Name | HERSHEY LONG TERM CARE PHARMACY |
| Practice Address |
1200 Grubb Street Palmyra PA 17078 |
| Practice Telephone | 7178322050 |
| Practice Fax Number | 7178322051 |
| Mailing Telephone | 7178322050 |
| Mailing Fax Number | 7178322051 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-01-27 |
| Authorized Official Name | MR. CHARLES KRAY (PRESIDENT) |
| Authorized Official Telephone | 7178322050 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PP415557L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MA1865498 | 05 |
| Other Name | Type Code |
|---|---|
| HERSHEY LONG TERM CARE PHARMACY | Doing Business As Name - Organization |
| Street Address |
1200 GRUBB STREET |
| City | PALMYRA |
| State | PA |
| Zip Code | 17078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916239 | Lolita Feld | Family Medicine | 941 Park Drive, Palmyra, PA 17078 | 2019-08-08 |
| 1508384736 | Kelly Renee Black | Specialist/Technologist | 503 North Chestnut Street, Palmyra, PA 17078 | 2017-09-08 |
| 1174857643 | Jason John Castro | Occupational Therapist | 1273 South Forge Road, Palmyra, PA 17078 | 2009-09-30 |
| 1962694174 | Timothy Ryan Corl | Optometrist | 2901 Horseshoe Pike, Palmyra, PA 17078 | 2007-08-11 |
| 1740349216 | Ck Kc Inc | Pharmacy | 22 East Main Street, Palmyra Pharmacy & Gift Shop, Palmyra, PA 17078 | 2006-12-08 |
| 1396839742 | Khanh T. Bui | Pharmacist | 30 W. Main Street, Palmyra, PA 17078 | 2006-10-02 |
| 1669846507 | Kelly Christine Morris | Occupational Therapist | 2880 Horseshoe Pike, Palmyra, PA 17078 | 2015-11-16 |
| 1003287558 | Corl Eyecare, LLC | Optometrist | 2901 Horseshoe Pike, Palmyra, PA 17078 | 2015-10-09 |
| 1972727238 | Philhaven Residential | Psychiatric Residential Treatment Facility | 231 E Main St, Palmyra, PA 17078 | 2007-04-11 |
| 1982016218 | Mary Jane Spahr | Counselor | 626 N Chestnut St, Palmyra, PA 17078-1106 | 2014-05-21 |
| Find all providers in zip 17078 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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: new] |
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| 1194204859 | Johnson's Pharmaceutical Services Inc | Pharmacy | 1400 Proline Pl Ste 800, Gettysburg, PA 17325-9401 | 2018-08-13 |
| 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.