Active NPI
Robert Kitonyo
- Pharmacist
- Berwick, PA
National Provider Identifier
1669949228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP441751
- Practice address
- 1015 N Vine St
Berwick, PA 18603-2025 - Phone
- (570) 802-0160
- NPI assigned
- Oct 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | RP441751 | PA | Primary |
Addresses
Primary practice location
1015 N Vine St
Berwick, PA 18603-2025
Mailing address
1015 N Vine St
Berwick, PA 18603-2025
Phone (570) 802-0160
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP441751 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1669949228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 N VINE ST",
"city": "BERWICK",
"state": "PA",
"postal_code": "186032025",
"telephone_number": "570-802-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 N VINE ST",
"city": "BERWICK",
"state": "PA",
"postal_code": "186032025",
"telephone_number": "570-802-0160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITONYO",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-31",
"last_updated": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP441751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.