Carolyn Kushwarra, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP042459L Issued in PA

Practice address

106 Sunbury St
Minersville, PA 17954-1443

Phone

(570) 399-5488

Fax

(570) 399-5488

NPI assigned

Oct 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• Minersville Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Minersville, PA
  • NPI 1023361631
  NPD (past) Authorized official

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1760992242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 YOKEWOOD RD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011321",
            "telephone_number": "570-622-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SUNBURY ST",
            "city": "MINERSVILLE",
            "state": "PA",
            "postal_code": "179541443",
            "telephone_number": "570-399-5488",
            "fax_number": "570-399-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHWARRA",
        "first_name": "CAROLYN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP042459L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "RP042469L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "RPI004779",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Hunyara, PA-C
• Lisa Jack
• Christine Keefer
• Rahul Kodali, M.D
• Michael R Kudryk, DMD
• Erika Ledezma
• Cynthia L Lubinsky, DO
• Ellen NMN Mace, DO
• Magnolia Health Group
• Carl Paul Makuta, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.