Active NPI
David Russell Gutekunst, RPH
- Pharmacist
- Harleysville, PA
National Provider Identifier
1336137017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP031185L
- Practice address
- 2700 Shelly Rd
Harleysville, PA 19438-1281 - Phone
- (215) 513-3053
- Fax
- (215) 513-3052
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP031185L | PA | Primary |
| Pharmacist | 183500000X | A10002778 | DE |
Addresses
Primary practice location
2700 Shelly Rd
Harleysville, PA 19438-1281
Mailing address
2700 Shelly Rd
Harleysville, PA 19438-1201
Phone (215) 513-3053
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018678030002 | Medicaid | PA | |
| PP481624 | Other | PA | PA PERMIT |
| 3986962 | Other | NCPDP | |
| 4415720002 | Other | PA | NSC |
| 1558469486 | Other | NPI | |
| 4415720002 | Other | PA | MEDICARE NSC |
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 |
|---|---|---|---|
| A10002778 | DE | MD | Pharmacist |
| RP031185L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landis Super Market 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Harleysville, PA
- NPI 1558469486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1336137017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 SHELLY RD",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194381201",
"telephone_number": "215-513-3053",
"fax_number": "215-513-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 SHELLY RD",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194381281",
"telephone_number": "215-513-3053",
"fax_number": "215-513-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTEKUNST",
"first_name": "DAVID",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP031185L",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A10002778",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018678030002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA PERMIT",
"identifier": "PP481624",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3986962",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC",
"identifier": "4415720002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1558469486",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "4415720002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harleysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.