Individual provider Active NPI

John Willis Emory Jr.

  • Pharmacist
  • York, PA
National Provider Identifier
1417425935
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP034531R Issued in PA
Practice address
2065 Springwood Rd
York, PA 17403-4836
Phone
(717) 852-8665
NPI assigned
Nov 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP034531R PA Primary

Addresses

Primary practice location

2065 Springwood Rd
York, PA 17403-4836

Mailing address

3733 Cutler CT
Stewartstown, PA 17363-8263
Phone (717) 993-2474

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

LicenseStateTypeSpecialty
RP034531RPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Weis Markets Inc Past Accepting new patients
Weis Markets Inc Past Accepting new patients

Organizations & group practices 2

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": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1417425935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 CUTLER CT",
            "city": "STEWARTSTOWN",
            "state": "PA",
            "postal_code": "173638263",
            "telephone_number": "717-993-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 SPRINGWOOD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034836",
            "telephone_number": "717-852-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMORY",
        "first_name": "JOHN",
        "middle_name": "WILLIS",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP034531R",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 2, 2018; 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.