Active NPI
Erica Sue Puffenberger, RPH
- Pharmacist
- Lancaster, PA
National Provider Identifier
1730770249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP042892R
- Practice address
- 2410 Willow Street Pike
Lancaster, PA 17602-4849 - Phone
- (717) 464-3736
- NPI assigned
- Jan 27, 2021
- Sex
- Female
- 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 | RP042892R | PA | Primary |
Addresses
Primary practice location
2410 Willow Street Pike
Lancaster, PA 17602-4849
Mailing address
2410 Willow Street Pike
Lancaster, PA 17602-4849
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | 7174643736 |
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 |
|---|---|---|---|
| RP042892R | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Lancaster, PA
- NPI 1215035951
-
- Pharmacy
- West Chester, PA
- NPI 1639063571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1730770249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 WILLOW STREET PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176024849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 WILLOW STREET PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176024849",
"telephone_number": "717-464-3736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUFFENBERGER",
"first_name": "ERICA",
"middle_name": "SUE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP042892R",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "7174643736",
"affiliation": "N",
"address_1": "2410 Willow Street Pike",
"city": "Lancaster",
"state": "PA",
"country_code": "US",
"postal_code": "176024849",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.