Active NPI
Kurt Richard Nestel Jr., BSPH
- Pharmacist
- Punxsutawney, PA
National Provider Identifier
1821450487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP037585L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| S013254 | AZ | MD | Pharmacist |
| RPH.03224940-2 | OH | MD | Pharmacist |
| RP037585L | PA | MD | Pharmacist |
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.