Active NPI
Ronald J Kitchenman, R.PH.
- Pharmacist
- Fairless Hills, PA
National Provider Identifier
1003087255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP026649L
- Practice address
- 500 Lincoln Hwy
Fairless Hills, PA 19030-1417 - Phone
- (215) 295-2834
- NPI assigned
- Mar 17, 2008
- Last updated
- Mar 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP026649L | PA | Primary |
| Pharmacist | 183500000X | 28RI01330800 | NJ |
Addresses
Primary practice location
500 Lincoln Hwy
Fairless Hills, PA 19030-1417
Mailing address
144 Chapel Dr
Churchville, PA 18966-1629
Phone (215) 953-0134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01330800 | NJ | MD | Pharmacist |
| RP026649L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathmark Stores Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1003087255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 CHAPEL DR",
"city": "CHURCHVILLE",
"state": "PA",
"postal_code": "189661629",
"telephone_number": "215-953-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LINCOLN HWY",
"city": "FAIRLESS HILLS",
"state": "PA",
"postal_code": "190301417",
"telephone_number": "215-295-2834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHENMAN",
"first_name": "RONALD",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP026649L",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01330800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairless Hills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.