John Pitsakis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP450950 Issued in PA

Practice address

1785 Autumn Leaf LN
Huntingdon Valley, PA 19006-1514

Phone

(267) 872-7201

NPI assigned

Dec 9, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1003412545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 AUTUMN LEAF LN",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061514",
            "telephone_number": "267-872-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 AUTUMN LEAF LN",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061514",
            "telephone_number": "267-872-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITSAKIS",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP450950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.