Active NPI
Freda Nordstrom
- Pharmacist
- Hummelstown, PA
National Provider Identifier
1922609767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP441041
- Practice address
- 277 Hershey Rd
Hummelstown, PA 17036-9246 - Phone
- (717) 256-0054
- Fax
- (717) 256-0061
- NPI assigned
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | RP441041 | PA | Primary |
Addresses
Primary practice location
277 Hershey Rd
Hummelstown, PA 17036-9246
Mailing address
277 Hershey Rd
Hummelstown, PA 17036-9246
Phone (717) 256-0054
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 |
|---|---|---|---|
| RP441041 | 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 |
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.
-
dba Giant Pharmacy #6279
- Community/Retail Pharmacy
- Hummelstown, PA
- NPI 1952333973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1922609767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 HERSHEY RD",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170369246",
"telephone_number": "717-256-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 HERSHEY RD",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170369246",
"telephone_number": "717-256-0054",
"fax_number": "717-256-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDSTROM",
"first_name": "FREDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP441041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hummelstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.