Individual provider Active NPI

John Zimmie, R.PH.

  • Pharmacist
  • East Stroudsburg, PA
National Provider Identifier
1548716350
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP043384L Issued in PA
Practice address
364 N Courtland St
Suite 2
East Stroudsburg, PA 18301-1930
Phone
(570) 730-4499
NPI assigned
Aug 31, 2016
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP043384L PA Primary

Addresses

Primary practice location

364 N Courtland St
Suite 2
East Stroudsburg, PA 18301-1930

Mailing address

364 N Courtland St
Suite 2
East Stroudsburg, PA 18301-1930
Phone (570) 730-4499

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
RP043384LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1548716350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 N COURTLAND ST",
            "address_2": "SUITE 2",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011930",
            "telephone_number": "570-730-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 N COURTLAND ST",
            "address_2": "SUITE 2",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011930",
            "telephone_number": "570-730-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMIE",
        "first_name": "JOHN",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP043384L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.