Active NPI
John A Maruscak
- Pharmacist
- Allentown, PA
National Provider Identifier
1184225716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP039084L
- Practice address
- 901 Airport Center Dr
Allentown, PA 18109-9384 - Phone
- (610) 266-7354
- Fax
- (610) 266-7360
- NPI assigned
- Nov 2, 2020
- Last updated
- Nov 2, 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 | RP039084L | PA | Primary |
Addresses
Primary practice location
901 Airport Center Dr
Allentown, PA 18109-9384
Mailing address
901 Airport Center Dr
Allentown, PA 18109-9384
Phone (610) 266-7354
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP039084L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1184225716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 AIRPORT CENTER DR",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181099384",
"telephone_number": "610-266-7354",
"fax_number": "610-266-7360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 AIRPORT CENTER DR",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181099384",
"telephone_number": "610-266-7354",
"fax_number": "610-266-7360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARUSCAK",
"first_name": "JOHN",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP039084L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.