Individual provider Active NPI

Theresa Charnetski

  • Pharmacist
  • Wilkes Barre, PA
National Provider Identifier
1477906550
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP450611 Issued in PA
Practice address
33 Public SQ
Wilkes Barre, PA 18701-1701
Phone
(570) 825-9481
NPI assigned
Jul 13, 2016
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP450611 PA Primary
Pharmacist 183500000X RPI010599 PA

Addresses

Primary practice location

33 Public SQ
Wilkes Barre, PA 18701-1701

Mailing address

1007 Fairway Dr
Bear Creek Township, PA 18702-9790
Phone (570) 814-6207

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
RP450611PAMDPharmacist
RPI010599PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1477906550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 FAIRWAY DR",
            "city": "BEAR CREEK TOWNSHIP",
            "state": "PA",
            "postal_code": "187029790",
            "telephone_number": "570-814-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PUBLIC SQ",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011701",
            "telephone_number": "570-825-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNETSKI",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP450611",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RPI010599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.