Active NPI
Jordyn Maroszek
- Pharmacist
- Port Matilda, PA
National Provider Identifier
1104768621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP460335
- Practice address
- 132 Abigail LN
Port Matilda, PA 16870-7153 - Phone
- (570) 271-6326
- NPI assigned
- Apr 6, 2026
- 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 | RP460335 | PA | Primary |
Addresses
Primary practice location
132 Abigail LN
Port Matilda, PA 16870-7153
Mailing address
132 Abigail LN
Port Matilda, PA 16870-7153
Other practice location 1
293 Patriot Ln
State College, PA 16803-1539
Phone (814) 272-6770
Other practice location 2
400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 248-5411
Other practice location 3
226 Buckaroo Ln
Bellefonte, PA 16823-9120
Phone (800) 230-4565
Other practice location 4
200 Scenery Dr
State College, PA 16801-7974
Phone (800) 230-4565
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1104768621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 ABIGAIL LN",
"city": "PORT MATILDA",
"state": "PA",
"postal_code": "168707153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 ABIGAIL LN",
"city": "PORT MATILDA",
"state": "PA",
"postal_code": "168707153",
"telephone_number": "570-271-6326"
}
],
"practiceLocations": [
{
"address_1": "293 Patriot Ln",
"address_purpose": "LOCATION",
"city": "State College",
"state": "PA",
"postal_code": "168031539",
"country_code": "US",
"telephone_number": "814-272-6770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Highland Ave",
"address_purpose": "LOCATION",
"city": "Lewistown",
"state": "PA",
"postal_code": "170441167",
"country_code": "US",
"telephone_number": "717-248-5411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "226 Buckaroo Ln",
"address_purpose": "LOCATION",
"city": "Bellefonte",
"state": "PA",
"postal_code": "168239120",
"country_code": "US",
"telephone_number": "800-230-4565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Scenery Dr",
"address_purpose": "LOCATION",
"city": "State College",
"state": "PA",
"postal_code": "168017974",
"country_code": "US",
"telephone_number": "800-230-4565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAROSZEK",
"first_name": "JORDYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-06",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP460335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Matilda, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.