Individual provider Active NPI

Kurt Richard Nestel Jr., BSPH

  • Pharmacist
  • Punxsutawney, PA
National Provider Identifier
1821450487
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP037585L Issued in PA
Practice address
207 Maryland Ave
Punxsutawney, PA 15767-1101
Phone
(814) 541-5379
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP037585L PA Primary
Pharmacist 183500000X S013254 AZ
Pharmacist 183500000X RPH.03224940-2 OH

Addresses

Primary practice location

207 Maryland Ave
Punxsutawney, PA 15767-1101

Mailing address

207 Maryland Ave
Punxsutawney, PA 15767-1101
Phone (814) 541-5379

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

LicenseStateTypeSpecialty
S013254AZMDPharmacist
RPH.03224940-2OHMDPharmacist
RP037585LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1821450487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MARYLAND AVE",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671101",
            "telephone_number": "814-541-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MARYLAND AVE",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671101",
            "telephone_number": "814-541-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTEL",
        "first_name": "KURT",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BSPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP037585L",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S013254",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "RPH.03224940-2",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.