Individual provider Active NPI

Gwo-Hwa Lee Proenca

  • Pharmacist
  • Rydal, PA
National Provider Identifier
1427204635
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP441723 Issued in PA
Practice address
950 Susquehanna Rd
Rydal, PA 19046-2551
Phone
(215) 740-8533
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
No

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
RP441723PAMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP441723 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

950 Susquehanna Rd
Rydal, PA 19046-2551

Mailing address

950 Susquehanna Rd
Rydal, PA 19046-2551

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2008.

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1427204635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SUSQUEHANNA RD",
            "city": "RYDAL",
            "state": "PA",
            "postal_code": "190462551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SUSQUEHANNA RD",
            "city": "RYDAL",
            "state": "PA",
            "postal_code": "190462551",
            "telephone_number": "215-740-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROENCA",
        "first_name": "GWO-HWA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rydal, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.