Active NPI
John J McKenna III, R.PH.
- Pharmacist
- Bear, DE
National Provider Identifier
1023399037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0003241
- Practice address
- 3625 Wrangle Hill Road
Bear, DE 19701 - Phone
- (302) 353-1050
- Fax
- (302) 543-2413
- NPI assigned
- Sep 2, 2011
- 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 | A1-0003241 | DE | Primary |
| Pharmacist | 183500000X | RP042578L | PA |
Addresses
Primary practice location
3625 Wrangle Hill Road
Bear, DE 19701
Mailing address
3625 Wrangle Hill Road
Bear, DE 19701
Phone (302) 353-1050
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 |
|---|---|---|---|
| A1-0003241 | DE | MD | Pharmacist |
| RP042578L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1023399037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3625 WRANGLE HILL ROAD",
"city": "BEAR",
"state": "DE",
"postal_code": "19701",
"telephone_number": "302-353-1050",
"fax_number": "302-543-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 WRANGLE HILL ROAD",
"city": "BEAR",
"state": "DE",
"postal_code": "19701",
"telephone_number": "302-353-1050",
"fax_number": "302-543-2413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-02",
"last_updated": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0003241",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP042578L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.