Active NPI
James Robert Prince
- Pharmacist
- Elizabethville, PA
National Provider Identifier
1922584911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP034514R
- Practice address
- 200 Kocher LN
Elizabethville, PA 17023-8716 - Phone
- (717) 362-4379
- NPI assigned
- Jul 13, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP034514R | PA | Primary |
Addresses
Primary practice location
200 Kocher LN
Elizabethville, PA 17023-8716
Mailing address
279 Grange Hall Rd
Millersburg, PA 17061-8607
Phone (717) 692-4638
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 |
|---|---|---|---|
| RP034514R | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1922584911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 GRANGE HALL RD",
"city": "MILLERSBURG",
"state": "PA",
"postal_code": "170618607",
"telephone_number": "717-692-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 KOCHER LN",
"city": "ELIZABETHVILLE",
"state": "PA",
"postal_code": "170238716",
"telephone_number": "717-362-4379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "JAMES",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-13",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP034514R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.