Active NPI
George Russell Hatfield Jr., RPH
- Pharmacist
- Ardmore, PA
National Provider Identifier
1144824210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP040506L
- Practice address
- 317 W Lancaster Ave
Ardmore, PA 19003-1403 - Phone
- (610) 658-0737
- Fax
- (610) 658-0943
- NPI assigned
- Nov 30, 2020
- Last updated
- Nov 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | RP040506L | PA | Primary |
Addresses
Primary practice location
317 W Lancaster Ave
Ardmore, PA 19003-1403
Mailing address
346 E Lancaster Ave Apt 508
Wynnewood, PA 19096-2233
Phone (610) 283-0150
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.cvs.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| RP040506L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1144824210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 E LANCASTER AVE APT 508",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190962233",
"telephone_number": "610-283-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 W LANCASTER AVE",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190031403",
"telephone_number": "610-658-0737",
"fax_number": "610-658-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATFIELD",
"first_name": "GEORGE",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP040506L",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.cvs.com",
"affiliation": "N",
"endpointDescription": "work website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "317 W Lancaster Ave",
"city": "Ardmore",
"state": "PA",
"country_code": "US",
"postal_code": "190031403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ardmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.