Individual provider Active NPI

Robert John Sever, R.PH.

  • Pharmacist
  • East Stroudsburg, PA
National Provider Identifier
1295067536
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP028630L Issued in PA
Practice address
300 Lincoln Ave
K-Mart Pharmacy #3406
East Stroudsburg, PA 18301-2815
Phone
(570) 424-7981
Fax
(570) 420-8537
NPI assigned
Feb 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP028630L PA Primary

Addresses

Primary practice location

300 Lincoln Ave
K-Mart Pharmacy #3406
East Stroudsburg, PA 18301-2815

Mailing address

300 Lincoln Ave
K-Mart Pharmacy #3406
East Stroudsburg, PA 18301-2815
Phone (570) 424-7981

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
RP028630LPAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1295067536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LINCOLN AVE",
            "address_2": "K-MART PHARMACY #3406",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012815",
            "telephone_number": "570-424-7981",
            "fax_number": "570-420-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LINCOLN AVE",
            "address_2": "K-MART PHARMACY #3406",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012815",
            "telephone_number": "570-424-7981",
            "fax_number": "570-420-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVER",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP028630L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.