Individual provider Active NPI

John Maysilles, RPH

  • Pharmacist
  • York, PA
National Provider Identifier
1629062286
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP043365L Issued in PA
Practice address
2350 E Market St
York, PA 17402
Phone
(717) 840-3846
Fax
(717) 840-3907
NPI assigned
Sep 9, 2005
Last updated
May 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP043365L PA Primary

Addresses

Primary practice location

2350 E Market St
York, PA 17402

Mailing address

2350 E Market St
York, PA 17402-2859
Phone (717) 840-3846

Other practice location 1

3180 Carlisle Rd
Dover, PA 17315-4512
Phone (717) 767-5322

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
RP043365LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Feb 27, 2022 Accepting new patients

Organizations & group practices 3

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1629062286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022859",
            "telephone_number": "717-840-3846",
            "fax_number": "717-840-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-840-3846",
            "fax_number": "717-840-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3180 Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "PA",
            "postal_code": "173154512",
            "country_code": "US",
            "telephone_number": "717-767-5322",
            "fax_number": "717-767-5592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYSILLES",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP043365L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.