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
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Where is Olde Hickory Pharmacy Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-11-08.