Eric James Kerper

Individual provider Active NPI Pharmacist · Brookhaven, PA

NPI 1366046013 · NPPES record last updated Nov 24, 2020

Key facts

NPI
1366046013
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP042449L (PA)
Practice address
3298 Edgmont Ave
Brookhaven, PA 19015-3105
Phone
(610) 876-5100
NPI assigned
Nov 24, 2020
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RP042449LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania CVS Pharmacy, L.L.C. Past
since Nov 29, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP042449L PA Yes

Addresses

Primary practice location

3298 Edgmont Ave
Brookhaven, PA 19015-3105

Mailing address

3298 Edgmont Ave
Brookhaven, PA 19015-3105
Phone (610) 876-5100

Other providers in Brookhaven, PA

All providers in Brookhaven, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.