Individual provider Active NPI

Jeremy A Nolt

  • Pharmacist
  • Hellertown, PA
National Provider Identifier
1902408487
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP448850 Issued in PA
Practice address
1880 Leithsville Rd
Hellertown, PA 18055-2505
Phone
(610) 838-3007
Fax
(844) 411-6605
NPI assigned
Nov 10, 2020
Sex
Male
Sole proprietor
Yes

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.

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
RP448850PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Giant Company, LLC PastSince Nov 15, 2020 Accepting new patients
The Giant Company, LLC PastSince Nov 15, 2020 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP448850 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1880 Leithsville Rd
Hellertown, PA 18055-2505

Mailing address

1880 Leithsville Rd
Hellertown, PA 18055-2505
Phone (610) 838-3007

Other practice location 1

1880 Leithsville Rd
Hellertown, PA 18055-2505
Phone (610) 838-3007

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2020.

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1902408487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LEITHSVILLE RD",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180552505",
            "telephone_number": "610-838-3007",
            "fax_number": "844-411-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LEITHSVILLE RD",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180552505",
            "telephone_number": "610-838-3007",
            "fax_number": "844-411-6605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 Leithsville Rd",
            "address_purpose": "LOCATION",
            "city": "Hellertown",
            "state": "PA",
            "postal_code": "180552505",
            "country_code": "US",
            "telephone_number": "610-838-3007",
            "fax_number": "844-411-6605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLT",
        "first_name": "JEREMY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP448850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hellertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.