Active NPI
Nicole A Proske, RPH
- Pharmacist
- Kane, PA
National Provider Identifier
1093701906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP039160L
- Practice address
- 190 N Fraley St
Kane, PA 16735-1165 - Phone
- (814) 837-8500
- NPI assigned
- Sep 26, 2005
- Sex
- Female
- Sole proprietor
- No
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 | RP039160L | PA | Primary |
Addresses
Primary practice location
190 N Fraley St
Kane, PA 16735-1165
Mailing address
190 N Fraley St
Kane, PA 16735-1165
Phone (814) 837-8500
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 |
|---|---|---|---|
| RP039160L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294531200000",
"number": "1093701906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 N FRALEY ST",
"city": "KANE",
"state": "PA",
"postal_code": "167351165",
"telephone_number": "814-837-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 N FRALEY ST",
"city": "KANE",
"state": "PA",
"postal_code": "167351165",
"telephone_number": "814-837-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSKE",
"first_name": "NICOLE",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2011-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP039160L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kane, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.