Active NPI
Nathaniel Paul McClure, CPHT
- Pharmacy Technician
- Mill Hall, PA
National Provider Identifier
1972387082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 30201966
- Practice address
- 6 Millbrook PLZ
Mill Hall, PA 17751-1911 - Phone
- (570) 748-1130
- NPI assigned
- Aug 21, 2023
- Last updated
- Aug 21, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 30201966 | PA | Primary |
Addresses
Primary practice location
6 Millbrook PLZ
Mill Hall, PA 17751-1911
Mailing address
644 Ridge Ave
Curwensville, PA 16833-7241
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 |
|---|---|---|---|
| 30201966 | PA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets Inc | Past | Accepting new patients | |
| Weis Markets Inc | 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, 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": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1972387082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 RIDGE AVE",
"city": "CURWENSVILLE",
"state": "PA",
"postal_code": "168337241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MILLBROOK PLZ",
"city": "MILL HALL",
"state": "PA",
"postal_code": "177511911",
"telephone_number": "570-748-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "NATHANIEL",
"middle_name": "PAUL",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PA",
"license": "30201966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Hall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.