Patrick Eugene Horne

Key facts

NPI

1831411065

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

RP441178 (PA)

Practice address

133 East Shirley Street
Mount Union, PA 17066

Phone

(814) 542-4412

NPI assigned

Feb 15, 2010

Sex

Male

Sole proprietor

No

Organizations & group practices 1

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.

• Applebys Professional Services LLC Multi-Specialty Clinic/Center · Mount Union, PA · NPI 1023907227
  NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 16, 2011.

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1831411065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20076 MCKENDREE CHURCH RD",
            "city": "THREE SPRINGS",
            "state": "PA",
            "postal_code": "172648552",
            "telephone_number": "814-305-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 EAST SHIRLEY STREET",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "17066",
            "telephone_number": "814-542-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "PATRICK",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-15",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441178",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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