Individual provider Active NPI

Deanne Joan Wieszczyk, RPH

  • Pharmacist
  • New Bethlehem, PA
National Provider Identifier
1104302975
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP031807L Issued in PA
Practice address
332 Broad St
New Bethlehem, PA 16242-1004
Phone
(814) 275-3424
Fax
(814) 275-3428
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP031807L PA Primary

Addresses

Primary practice location

332 Broad St
New Bethlehem, PA 16242-1004

Mailing address

332 Broad St
New Bethlehem, PA 16242-1004
Phone (814) 275-3424

Other names 1

  • Mrs. Deanne Joan Klingensmith Professional name

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
RP031807LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1104302975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 BROAD ST",
            "city": "NEW BETHLEHEM",
            "state": "PA",
            "postal_code": "162421004",
            "telephone_number": "814-275-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 BROAD ST",
            "city": "NEW BETHLEHEM",
            "state": "PA",
            "postal_code": "162421004",
            "telephone_number": "814-275-3424",
            "fax_number": "814-275-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESZCZYK",
        "first_name": "DEANNE",
        "middle_name": "JOAN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP031807L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNE",
            "last_name": "KLINGENSMITH",
            "middle_name": "JOAN",
            "prefix": "MRS.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.