Active NPI
Corey Haupt, RPH
- Pharmacist
- Bloomsburg, PA
National Provider Identifier
1710498159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP451825
- Practice address
- 240 Mall Blvd
Bloomsburg, PA 17815-8306 - Phone
- (866) 246-1980
- NPI assigned
- Oct 12, 2017
- 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 | RP451825 | PA | Primary |
Addresses
Primary practice location
240 Mall Blvd
Bloomsburg, PA 17815-8306
Mailing address
200 Wheatstone LN
Lebanon, PA 17042-7670
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP451825 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1710498159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WHEATSTONE LN",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MALL BLVD",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178158306",
"telephone_number": "866-246-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUPT",
"first_name": "COREY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-12",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP451825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.