Active NPI
Valerie Minnich II
- Pharmacist
- Elizabethtown, PA
National Provider Identifier
1063507085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP-08537-L
- Practice address
- 606 Westbrooke Dr
Elizabethtown, PA 17022-8806 - Phone
- (610) 670-4127
- Fax
- (610) 670-4116
- NPI assigned
- Oct 4, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP-08537-L | PA | Primary |
| Pharmacist | 183500000X | 28RI02511200 | NJ | |
| Pharmacist | 183500000X | 0202010908 | VA |
Addresses
Primary practice location
606 Westbrooke Dr
Elizabethtown, PA 17022-8806
Mailing address
606 Westbrooke Dr
Elizabethtown, PA 17022-8806
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 |
|---|---|---|---|
| 28RI02511200 | NJ | MD | Pharmacist |
| RP-08537-L | PA | MD | Pharmacist |
| 0202010908 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1063507085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 WESTBROOKE DR",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170228806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 WESTBROOKE DR",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170228806",
"telephone_number": "610-670-4127",
"fax_number": "610-670-4116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNICH",
"first_name": "VALERIE",
"name_prefix": "Ms.",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP-08537-L",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02511200",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202010908",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.