Individual provider Active NPI

Ellen Marie Nastase, R.PH

  • Pharmacist
  • Harrisburg, PA
National Provider Identifier
1093712127
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP035428-L Issued in PA
Practice address
5125 Jonestown Road
Weis Pharmacy
Harrisburg, PA 17112
Phone
(717) 540-3906
NPI assigned
Jul 5, 2005
Last updated
Sep 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP035428-L PA Primary

Addresses

Primary practice location

5125 Jonestown Road
Weis Pharmacy
Harrisburg, PA 17112

Mailing address

4403 Saint Andrews Way
Harrisburg, PA 17112-1576
Phone (717) 651-9653

Other identifiers 5

IdentifierTypeStateIssuer
RP-035428-LOtherPASTATE LICENSE
RP0006732OtherWVWV RPH LICENSE
0202206848OtherVAVIRGINIA STATE RPH LICENS
RPI002512OtherPAIMMUNIZER
12252OtherMDMD RPH LICENSE

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

LicenseStateTypeSpecialty
RP035428-LPAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1093712127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 SAINT ANDREWS WAY",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121576",
            "telephone_number": "717-651-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 JONESTOWN ROAD",
            "address_2": "WEIS PHARMACY",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17112",
            "telephone_number": "717-540-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASTASE",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP035428-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RP-035428-L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV RPH LICENSE",
            "identifier": "RP0006732",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE RPH LICENS",
            "identifier": "0202206848",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMMUNIZER",
            "identifier": "RPI002512",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD RPH LICENSE",
            "identifier": "12252",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.