Active NPI
Joyce Fasula
- Pharmacist
- Hanover Township, PA
National Provider Identifier
1043760663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PP481598
- Practice address
- 2280 Sans Souci Pkwy
Hanover Township, PA 18706-5049 - Phone
- (570) 812-0016
- NPI assigned
- Oct 6, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PP481598 | PA | Primary |
Addresses
Primary practice location
2280 Sans Souci Pkwy
Hanover Township, PA 18706-5049
Mailing address
950 N South Rd
Scranton, PA 18504-1430
Phone (570) 342-4144
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 |
|---|---|---|---|
| PP481598 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerrity'S Supermarket, Inc. | Past | Accepting new patients | |
| Gerritys Supermarket 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Scranton, PA
- NPI 1154607497
-
- Community/Retail Pharmacy
- Hanover Township, PA
- NPI 1528079191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1043760663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N SOUTH RD",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185041430",
"telephone_number": "570-342-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 SANS SOUCI PKWY",
"city": "HANOVER TOWNSHIP",
"state": "PA",
"postal_code": "187065049",
"telephone_number": "570-812-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASULA",
"first_name": "JOYCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-06",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "PP481598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.