Active NPI
Jennifer Patson, PHARMD
- Pharmacist
- Montoursville, PA
National Provider Identifier
1578012472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP438528
- Practice address
- 1015 N Loyalsock Ave
Montoursville, PA 17754-1065 - Phone
- (570) 368-5454
- NPI assigned
- Oct 3, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP438528 | PA | Primary |
Addresses
Primary practice location
1015 N Loyalsock Ave
Montoursville, PA 17754-1065
Mailing address
1015 N Loyalsock Ave
Montoursville, PA 17754-1065
Phone (570) 368-5454
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP438528 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1578012472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 N LOYALSOCK AVE",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177541065",
"telephone_number": "570-368-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 N LOYALSOCK AVE",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177541065",
"telephone_number": "570-368-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATSON",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-03",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP438528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montoursville, PA
- Mylea Neidig
- North Central Pennsylvania Dialysis Clinics LLC (Williamsport Dialysis Clinic)
- Charles Joseph O'Malley, DPT
- Mark Christopher Oberheim, DMD, MDS
- Mehulaben Patel
- Violeta Pesa, PT
- Kimberly A. Peterson, PHARM.D
- Powerback Rehabilitation LLC (Powerback Rehabilitation)
- Presbyterian Homes Inc. (Sycamore Manor Health Center)
- Robert E. Purcell Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.