Active NPI
Matthew Scott Kunselman, PHARMD
- Pharmacist
- Punxsutawney, PA
National Provider Identifier
1639469935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP441887
- Practice address
- 201 West Mahoning Street
Punxsutawney, PA 15767 - Phone
- (814) 938-9161
- NPI assigned
- Apr 8, 2011
- Last updated
- Apr 8, 2011
- Sex
- Male
- Sole proprietor
- No
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 | RP441887 | PA | Primary |
Addresses
Primary practice location
201 West Mahoning Street
Punxsutawney, PA 15767
Mailing address
467 Salem Road
Mayport, PA 16240
Phone (814) 256-3795
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 |
|---|---|---|---|
| RP441887 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1639469935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 SALEM ROAD",
"city": "MAYPORT",
"state": "PA",
"postal_code": "16240",
"telephone_number": "814-256-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 WEST MAHONING STREET",
"city": "PUNXSUTAWNEY",
"state": "PA",
"postal_code": "15767",
"telephone_number": "814-938-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNSELMAN",
"first_name": "MATTHEW",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-08",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP441887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Punxsutawney, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.