Active NPI
Michael Harenza
- Pharmacist
- Ephrata, PA
National Provider Identifier
1275371379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP441391
- Practice address
- 4 E Main St
Ephrata, PA 17522-2701 - Phone
- (717) 863-9911
- NPI assigned
- Jul 15, 2024
- 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 | RP441391 | PA | Primary |
Addresses
Primary practice location
4 E Main St
Ephrata, PA 17522-2701
Mailing address
4 E Main St
Ephrata, PA 17522-2701
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 |
|---|---|---|---|
| RP441391 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ephrata Pharmacy LLC | Current | Accepting new patients |
Locations
4 E Main St
Ephrata, PA 17522
Phone (267) 664-5029
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1275371379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 E MAIN ST",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175222701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 E MAIN ST",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175222701",
"telephone_number": "717-863-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARENZA",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP441391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.