Individual provider Active NPI

Penny Withey, R.PH.

  • Pharmacist
  • Clearfield, PA
National Provider Identifier
1497925358
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP033685L Issued in PA
Practice address
100 Supercenter Dr
Clearfield, PA 16830-6027
Phone
(814) 765-8587
Fax
(814) 762-8412
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP033685L PA Primary

Addresses

Primary practice location

100 Supercenter Dr
Clearfield, PA 16830-6027

Mailing address

100 Supercenter Dr
Clearfield, PA 16830-6027
Phone (814) 765-8587

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

LicenseStateTypeSpecialty
RP033685LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1497925358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SUPERCENTER DR",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168306027",
            "telephone_number": "814-765-8587",
            "fax_number": "814-762-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SUPERCENTER DR",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168306027",
            "telephone_number": "814-765-8587",
            "fax_number": "814-762-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHEY",
        "first_name": "PENNY",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP033685L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.