Individual provider Active NPI

Elizabeth L Mason, RPH, EMT

  • Pharmacist
  • Media, PA
National Provider Identifier
1649590480
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP034772L Issued in PA
Practice address
510 E Baltimore Pike
Media, PA 19063-3836
Phone
(610) 566-3218
Fax
(610) 566-0878
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X PA095889L PA
Pharmacist 183500000X RP034772L PA Primary

Addresses

Primary practice location

510 E Baltimore Pike
Media, PA 19063-3836

Mailing address

753 Parker LN
Springfield, PA 19064-1341
Phone (610) 604-0974

Other identifiers 2

IdentifierTypeStateIssuer
RP034772LOtherPAPHARMACIST LICENSE NUMBER
PA095889LOtherPAEMERGENCY MEDICAL TECHNICIAN

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
Emergency Medical Technician, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PA095889LPAMDBasic Emergency Medical Technician
RP034772LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1649590480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 PARKER LN",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641341",
            "telephone_number": "610-604-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633836",
            "telephone_number": "610-566-3218",
            "fax_number": "610-566-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RPH, EMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PA",
            "license": "PA095889L",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP034772L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "RP034772L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMERGENCY MEDICAL TECHNICIAN",
            "identifier": "PA095889L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.