Active NPI
Lisa Augustine, RPH
- Pharmacist
- Mifflintown, PA
National Provider Identifier
1528537214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP036218L
- Practice address
- 4521 William Penn Hwy
Mifflintown, PA 17059-9531 - Phone
- (717) 436-9149
- NPI assigned
- Nov 25, 2018
- Last updated
- Nov 25, 2018
- Sex
- Female
- 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 | RP036218L | PA | Primary |
Addresses
Primary practice location
4521 William Penn Hwy
Mifflintown, PA 17059-9531
Mailing address
5905 Mayfair Dr
Harrisburg, PA 17112-3170
Phone (717) 545-9115
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 |
|---|---|---|---|
| RP036218L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543104000000",
"number": "1528537214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5905 MAYFAIR DR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171123170",
"telephone_number": "717-545-9115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4521 WILLIAM PENN HWY",
"city": "MIFFLINTOWN",
"state": "PA",
"postal_code": "170599531",
"telephone_number": "717-436-9149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTINE",
"first_name": "LISA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-25",
"last_updated": "2018-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP036218L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mifflintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.