Individual provider Active NPI

Mara Elise Oesterle, PHARMD RPH

  • Pharmacist
  • Orwigsburg, PA
National Provider Identifier
1598361024
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP452913 Issued in PA
Practice address
101 W Market St
Orwigsburg, PA 17961-1807
Phone
(570) 366-0381
Fax
(570) 366-0203
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP452913 PA Primary

Addresses

Primary practice location

101 W Market St
Orwigsburg, PA 17961-1807

Mailing address

101 W Market St
Orwigsburg, PA 17961-1807
Phone (570) 366-0381

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP452913PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Orwigsburg Apothecary LLC Pharmacist CurrentSince Dec 13, 2020 Accepting new patients

Locations

101 W Market St
Orwigsburg, PA 17961
Phone (570) 366-0381

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1598361024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MARKET ST",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179611807",
            "telephone_number": "570-366-0381",
            "fax_number": "570-366-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MARKET ST",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179611807",
            "telephone_number": "570-366-0381",
            "fax_number": "570-366-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OESTERLE",
        "first_name": "MARA",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "PHARMD RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orwigsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.