Angela Pano
Individual provider Active NPI Pharmacist · Glenolden, PA
NPI 1043735848 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1043735848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03858700 (NJ)
- Practice address
- 150 N Macdade Blvd
Glenolden, PA 19036-1224 - Phone
- (619) 586-5224
- NPI assigned
- Aug 14, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03858700 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03858700 | NJ | Yes |
Addresses
Primary practice location
150 N Macdade Blvd
Glenolden, PA 19036-1224
Mailing address
2114 S Hicks St
Philadelphia, PA 19145-3913
Other providers in Glenolden, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.