Nicholas Stonesifer
Individual provider Active NPI Pharmacist · MC Connellsburg, PA
NPI 1023765187 · NPPES record last updated Mar 8, 2022
Key facts
- NPI
- 1023765187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP456543 (PA)
- Practice address
- 214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559 - Phone
- (717) 485-3622
- NPI assigned
- Mar 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP456543 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP456543 | PA | Yes |
Addresses
Primary practice location
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Mailing address
214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP456543 | Other | PA | REGISTERED PHARMACIST |
| RPI015605 | Other | PA | PHARMACIST IMMUNIZATION LICENSE |
Other providers in MC Connellsburg, PA
- Jack David Steele
- Douglas D Stern
- Ethan Samuel Stern
- Katlyn Ann Stern
- Benjamin Stonesifer
- Thomas C Johnston Jr
- Amber L Thomas
- Truenorth Wellness Services
- Truenorth Wellness Services
- Truenorth Wellness Services
All providers in MC Connellsburg, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.