Nickolas Alan Kernich, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP442609 Issued in PA

Practice address

203 Hampton Ave
Punxsutawney, PA 15767-2133

Phone

(814) 938-9150

Fax

(814) 938-9151

NPI assigned

Jun 1, 2009

Last updated

Jun 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Punxsy Hometown Pharmacy LLC

  dba Punxsy Hometown Pharmacy

  • Community/Retail Pharmacy
  • Punxsutawney, PA
  • NPI 1699912543
  NPD (past) Authorized official

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1649406919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HAMPTON AVE",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672133",
            "telephone_number": "814-938-9150",
            "fax_number": "814-938-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HAMPTON AVE",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672133",
            "telephone_number": "814-938-9150",
            "fax_number": "814-938-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNICH",
        "first_name": "NICKOLAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP442609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "RP442609",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Kallenbaugh, OTD, OTR/L
• Kamal Khalaf M.D.
• Aaron David Kendrick, MD
• Kenneth K. Fugate, M.D.
• Joseph J. Kernich, M.D.
• Kayla Rosemary Kerr, PA-C
• Janet Marie Keslar, CRNP
• Jennifer Keslar, CRNP
• Keystone Rehabilitation Systems Inc (Keystone Physical Therapy)
• Keystone Rehabilitation Systems, Inc. (NovaCare Rehabilitation)

• Pharmacist in Punxsutawney, PA
• Providers in Punxsutawney, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.