Active NPI
Jordan Michel Fike, RPH
- Pharmacist
- York, PA
National Provider Identifier
1487123188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP451498
- Practice address
- 1800 Roosevelt Ave
York, PA 17408-8506 - Phone
- (717) 767-7009
- NPI assigned
- Nov 26, 2018
- 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 | RP451498 | PA | Primary |
Addresses
Primary practice location
1800 Roosevelt Ave
York, PA 17408-8506
Mailing address
255 Callie Drive
York, PA 17404
Phone (412) 496-5580
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 |
|---|---|---|---|
| RP451498 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1487123188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 CALLIE DRIVE",
"city": "YORK",
"state": "PA",
"postal_code": "17404",
"telephone_number": "412-496-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 ROOSEVELT AVE",
"city": "YORK",
"state": "PA",
"postal_code": "174088506",
"telephone_number": "717-767-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIKE",
"first_name": "JORDAN",
"middle_name": "MICHEL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP451498",
"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 26, 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.