Active NPI
Eric James Kerper
- Pharmacist
- Brookhaven, PA
National Provider Identifier
1366046013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP042449L
- Practice address
- 3298 Edgmont Ave
Brookhaven, PA 19015-3105 - Phone
- (610) 876-5100
- NPI assigned
- Nov 24, 2020
- Last updated
- Nov 24, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP042449L | PA | Primary |
Addresses
Primary practice location
3298 Edgmont Ave
Brookhaven, PA 19015-3105
Mailing address
3298 Edgmont Ave
Brookhaven, PA 19015-3105
Phone (610) 876-5100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP042449L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1366046013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3298 EDGMONT AVE",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190153105",
"telephone_number": "610-876-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3298 EDGMONT AVE",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190153105",
"telephone_number": "610-876-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERPER",
"first_name": "ERIC",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP042449L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.