Active NPI
Jeremy A Nolt
- Pharmacist
- Hellertown, PA
National Provider Identifier
1902408487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP448850
- 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.
-
- Community/Retail Pharmacy
- Hellertown, PA
- NPI 1518999531
-
- Community/Retail Pharmacy
- Quarryville, PA
- NPI 1952182305
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 |
|---|---|---|---|
| RP448850 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Giant Company, LLC | Past | Accepting new patients | |
| The Giant Company, LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP448850 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.