Jack West, RPh
Pharmacist in Imperial, PA. Individual provider (NPI-1).
NPI number1497061063
StatusActive
Last updated in NPPESAug 20, 2010
Details
- NPI
- 1497061063
- Entity type
- Individual (NPI-1)
- Name
- Jack West
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2010
- Last updated
- Aug 20, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RP035521L | PA | Yes |
Practice location
103 W Allegheny RdImperial, PA 15126-9779
Phone 724-695-7317
Mailing address
103 W Allegheny RdImperial, PA 15126-9779
Phone 724-695-7317
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Pharmacist providers in Imperial · All 87 providers in Imperial
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