Individual provider Active NPI

Douglas H Espersen, RPH CGP FASCP

  • Pharmacist
  • Harleysville, PA
National Provider Identifier
1356775811
Registry record updated Sep 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP036373R Issued in PA
Practice address
381 Courtland Ave
Harleysville, PA 19438-1673
Phone
(267) 222-2060
NPI assigned
Sep 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP036373R PA Primary
Geriatric Pharmacist 1835G0303X RP036373R PA

Addresses

Primary practice location

381 Courtland Ave
Harleysville, PA 19438-1673

Mailing address

381 Courtland Ave
Harleysville, PA 19438-1673
Phone (267) 222-2060

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
RP036373RPAMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378080000000",
    "number": "1356775811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 COURTLAND AVE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381673",
            "telephone_number": "267-222-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 COURTLAND AVE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381673",
            "telephone_number": "267-222-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPERSEN",
        "first_name": "DOUGLAS",
        "middle_name": "H",
        "credential": "RPH CGP FASCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-02",
        "last_updated": "2013-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP036373R",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "PA",
            "license": "RP036373R",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 2, 2013; 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.