Active NPI
Frederic Alan Poff, RPH
- Pharmacist
- York, PA
National Provider Identifier
1407935885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP026903L
- Practice address
- 100 N Broad St
York, PA 17403-1525 - Phone
- (717) 845-5557
- Fax
- (717) 845-5557
- NPI assigned
- Nov 4, 2006
- 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 | RP026903L | PA | Primary |
Addresses
Primary practice location
100 N Broad St
York, PA 17403-1525
Mailing address
100 N Broad St
York, PA 17403-1525
Phone (717) 845-5557
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PP413357L | Other | PA | PHARMACY LIC |
| 0009422240001 | Medicaid | PA |
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 |
|---|---|---|---|
| RP026903L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederic a Poff | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407935885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N BROAD ST",
"city": "YORK",
"state": "PA",
"postal_code": "174031525",
"telephone_number": "717-845-5557",
"fax_number": "717-845-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N BROAD ST",
"city": "YORK",
"state": "PA",
"postal_code": "174031525",
"telephone_number": "717-845-5557",
"fax_number": "717-845-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POFF",
"first_name": "FREDERIC",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP026903L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LIC",
"identifier": "PP413357L",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009422240001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.