NPI Portal NPI Lookup & Verification

Olde Hickory Pharmacy Inc

Olde Hickory Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Lititz, PA, holding Type 2 (organization) NPI 1669414371 since 2006. The authorized official on file is Darryl Bon Fessuto, President Ceo Head Pharmacist.

✓ Active NPI ✓ Valid NPI checksum

NPI 1669414371
Entity type Organization (Type 2)
Legal business name Olde Hickory Pharmacy Inc
Other name <Unavail>
Practice address 3 WOODHENGE CIR, Lititz, PA, 17543
Phone 7174318429
Fax 7175693807
Enumeration date 2006-06-10
Last updated in NPPES 2011-11-08

Authorized official

Name Darryl Bon Fessuto
Title President Ceo Head Pharmacist
Phone 7178242189

Taxonomy & classification

Taxonomy code Specialty Primary License State
333600000X Pharmacy Secondary
3336C0003X Community/Retail Pharmacy Primary PP413656L PA

Other identifiers

Identifier Type State Issuer
3960526 Other NCPDP PROVIDER IDENTIFICATION NUMBER
1205719 Medicaid PA
Copy-ready billing details
Provider: Olde Hickory Pharmacy Inc
NPI: 1669414371
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 3 WOODHENGE CIR, Lititz, PA, 17543

Verify this record

Cross-check NPI 1669414371 against the authoritative CMS record: view Olde Hickory Pharmacy Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-11-08. Verify at npiregistry.cms.hhs.gov.
Where is Olde Hickory Pharmacy Inc located?
The practice location on file with NPPES is in Lititz, PA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-11-08.