Individual provider Active NPI

Megan E Ketterman, BS PHARMD RPH

  • Pharmacist
  • York, PA
National Provider Identifier
1942476437
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP041921L Issued in PA
Practice address
1698 S Queen St
York, PA 17403-4633
Phone
(717) 846-0500
NPI assigned
May 5, 2008
Last updated
Mar 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP041921L PA Primary

Addresses

Primary practice location

1698 S Queen St
York, PA 17403-4633

Mailing address

1698 S Queen St
York, PA 17403-4633
Phone (717) 846-0500

Other identifiers 1

IdentifierTypeStateIssuer
RP041921LOtherPAPENNSYLVANIA PHARMACIST LICENSE

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
Credentials
Bachelor of Science, Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP041921LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Infusion, Inc. Past Accepting new patients
Minnich's Pharmacy Inc PastSince Nov 26, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1942476437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034633",
            "telephone_number": "717-846-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034633",
            "telephone_number": "717-846-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTERMAN",
        "first_name": "MEGAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "BS PHARMD RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP041921L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA PHARMACIST LICENSE",
            "identifier": "RP041921L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.