Active NPI
Jacob M. Sherk, RPH
- Nutrition Support Pharmacist
- Elizabethtown, PA
National Provider Identifier
1295883510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- RP033731L
- Practice address
- 428 Cloverleaf Rd
Elizabethtown, PA 17022-9320 - Phone
- (717) 653-6888
- Fax
- (717) 653-9569
- NPI assigned
- Jan 5, 2007
- 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 |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | RP033731L | PA | Primary |
Addresses
Primary practice location
428 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Mailing address
314 College Ave
Elizabethtown, PA 17022-2413
Phone (717) 367-1785
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 |
|---|---|---|---|
| RP033731L | PA | MD | Nutrition Support Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1295883510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 COLLEGE AVE",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170222413",
"telephone_number": "717-367-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 CLOVERLEAF RD",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170229320",
"telephone_number": "717-653-6888",
"fax_number": "717-653-9569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERK",
"first_name": "JACOB",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "PA",
"license": "RP033731L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.