Active NPI
Kenneth J Eisenstock, RPH
- Geriatric Pharmacist
- Blue Bell, PA
National Provider Identifier
1558583146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- RP03011L
- Practice address
- 704 Broadmoor Dr
Blue Bell, PA 19422 - Phone
- (610) 313-2313
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | RP03011L | PA | Primary |
Addresses
Primary practice location
704 Broadmoor Dr
Blue Bell, PA 19422
Mailing address
704 Broadmoor Dr
Blue Bell, PA 19422
Phone (610) 313-2313
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 |
|---|---|---|---|
| RP03011L | PA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558583146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 BROADMOOR DR",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "19422",
"telephone_number": "610-313-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 BROADMOOR DR",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "19422",
"telephone_number": "610-313-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENSTOCK",
"first_name": "KENNETH",
"middle_name": "J",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "PA",
"license": "RP03011L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Bell, PA
- Eagle Health Care LLC
- East Norriton Physicians Services (Mercy Women's Health Care)
- East Norriton Physicians Services (Blue Bell Family Medicine)
- Easy Social Services
- Einstein Medical Center Montgomery (Einstein Endoscopy Center - Blue Bell)
- Elite2Serve Healthcare Solutions LLC Dba Elite2Serve Community Transitional Services
- Denice Elliott-Heim
- Latifah Elliott, LPN
- Emergency Medicine of Ihpil LTD
- Alissa Angela Erb, M.S., L.B.S., L.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.