Individual provider Active NPI

Jeffry F Strutt, RPH

  • Pharmacist
  • Elizabeth, PA
National Provider Identifier
1154477503
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP032541L Issued in PA
Practice address
108 Simpson Howell Rd
Elizabeth, PA 15037-2528
Phone
(412) 751-6100
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP032541L PA Primary

Addresses

Primary practice location

108 Simpson Howell Rd
Elizabeth, PA 15037-2528

Mailing address

108 Simpson Howell Rd
Elizabeth, PA 15037-2528
Phone (412) 751-6100

Other identifiers 1

IdentifierTypeStateIssuer
0010509470000MedicaidPA

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
RP032541LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Pharmacy Inc Past Accepting new patients

Organizations & group practices 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154477503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SIMPSON HOWELL RD",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372528",
            "telephone_number": "412-751-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SIMPSON HOWELL RD",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372528",
            "telephone_number": "412-751-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUTT",
        "first_name": "JEFFRY",
        "middle_name": "F",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP032541L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010509470000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.