Active NPI
Kathleen Clouser
- Pharmacotherapy Pharmacist
- Mechanicsburg, PA
National Provider Identifier
1972279156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- RP042943L
- Practice address
- 6416 Carlisle Pike
Mechanicsburg, PA 17050-2393 - Phone
- (717) 791-4545
- NPI assigned
- Aug 18, 2021
- Last updated
- Aug 18, 2021
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | RP042943L | PA | Primary |
Addresses
Primary practice location
6416 Carlisle Pike
Mechanicsburg, PA 17050-2393
Mailing address
6416 Carlisle Pike
Mechanicsburg, PA 17050-2393
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Pharmacy.store045@wegmans.com | Wegmans Food Markets, Inc. |
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 |
|---|---|---|---|
| RP042943L | PA | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wegmans Food Markets, Inc. | Past | Accepting new patients | |
| Wegmans Food Markets, Inc. | Past | Accepting new patients |
Interoperability endpoints
- pharmacy.store045@wegmans.com
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": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1972279156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6416 CARLISLE PIKE",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170502393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6416 CARLISLE PIKE",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170502393",
"telephone_number": "717-791-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUSER",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "PA",
"license": "RP042943L",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Pharmacy.store045@wegmans.com",
"affiliation": "Y",
"affiliationName": "Wegmans Food Markets, Inc.",
"address_1": "1315 Cold Spring Rd",
"city": "Scranton",
"state": "PA",
"country_code": "US",
"postal_code": "185081113",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.