Individual provider Active NPI

Jonathan Michael Bartell, PHARM D

  • Pharmacist
  • Tunkhannock, PA
National Provider Identifier
1407182959
Registry record updated Oct 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP442045 Issued in PA
Practice address
809 Sr 29 S
Tunkhannock, PA 18657-5803
Phone
(570) 836-8072
NPI assigned
Oct 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP442045 PA Primary

Addresses

Primary practice location

809 Sr 29 S
Tunkhannock, PA 18657-5803

Mailing address

15 Glenridge Cir
Clarks Summit, PA 18411-8777
Phone (570) 498-1970

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP442045PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1255824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255824000000",
    "number": "1407182959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GLENRIDGE CIR",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184118777",
            "telephone_number": "570-498-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SR 29 S",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186575803",
            "telephone_number": "570-836-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELL",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-18",
        "last_updated": "2009-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP442045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tunkhannock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; 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.