Individual provider Active NPI

E. Mark Punchard Sr., R.PH.

  • Pharmacist
  • Biglerville, PA
National Provider Identifier
1013149400
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP027702L Issued in PA
Practice address
3460 Biglerville Rd
Biglerville, PA 17307-9501
Phone
(717) 677-6600
Fax
(717) 677-9262
NPI assigned
Aug 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP027702L PA Primary
Pharmacist 183500000X RP1001011 PA

Addresses

Primary practice location

3460 Biglerville Rd
Biglerville, PA 17307-9501

Mailing address

3460 Biglerville Rd
Biglerville, PA 17307-9501
Phone (717) 677-6600

Other identifiers 4

IdentifierTypeStateIssuer
0325770006OtherPAMEDICARE IDENTIFICATION NUMBER
3946829OtherPANABP NUMBER
100743152-0003MedicaidPA
1356492177OtherPAWELLSPAN PHARMACY - BIGLERVILLE - NPI NUMBER

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

LicenseStateTypeSpecialty
RP027702LPAMDPharmacist
RP1001011PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Pharmacy, 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1013149400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 BIGLERVILLE RD",
            "city": "BIGLERVILLE",
            "state": "PA",
            "postal_code": "173079501",
            "telephone_number": "717-677-6600",
            "fax_number": "717-677-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 BIGLERVILLE RD",
            "city": "BIGLERVILLE",
            "state": "PA",
            "postal_code": "173079501",
            "telephone_number": "717-677-6600",
            "fax_number": "717-677-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNCHARD",
        "first_name": "E.",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP027702L",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP1001011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "0325770006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "3946829",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100743152-0003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLSPAN PHARMACY - BIGLERVILLE - NPI NUMBER",
            "identifier": "1356492177",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biglerville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.