Active NPI
Jennifer Killian
- Pharmacist
- Hamburg, PA
National Provider Identifier
1053912147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP440416
- Practice address
- 1800 Tilden Ridge Dr
Hamburg, PA 19526-8181 - Phone
- (484) 668-4008
- NPI assigned
- Nov 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP440416 | PA | Primary |
Addresses
Primary practice location
1800 Tilden Ridge Dr
Hamburg, PA 19526-8181
Mailing address
1800 Tilden Ridge Dr
Hamburg, PA 19526-8181
Phone (484) 668-4008
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP440416 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1053912147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 TILDEN RIDGE DR",
"city": "HAMBURG",
"state": "PA",
"postal_code": "195268181",
"telephone_number": "484-668-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TILDEN RIDGE DR",
"city": "HAMBURG",
"state": "PA",
"postal_code": "195268181",
"telephone_number": "484-668-4008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLIAN",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP440416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.