Olivero Medical Health Center

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

OLIVERO MEDICAL HEALTH CENTER

Doing business as

Olivero Pharmacy

Practice address

1243 Skytop Mountain Rd
Port Matilda, PA 16870-7725

Phone

(814) 499-3009

Fax

(814) 584-5751

NPI assigned

Jun 30, 2022

Organization subpart

Yes

Parent organization

OLIVERO MEDICAL HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Daniel Olivero, MD

Title

Medical Director

Phone

(814) 499-3009

Specialties & licenses 2

Addresses

Other names 1

• Olivero Pharmacy Doing business as

Tax ID family

Olivero Med HLTH Ctr2 organizations share this tax ID, including this one

Part of

Olivero Med HLTH Ctr

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Olivero Medical Health Center

  dba Olivero Medical Laboratory

  • Clinical Medical Laboratory
  • Port Matilda, PA
  • NPI 1407593080
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Olivero Medical Health Center

  dba Olivero Pediatrics

  • Clinic/Center
  • Port Matilda, PA
  • NPI 1386159564
  NPPES parent name

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1063144632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707725",
            "telephone_number": "814-499-3009",
            "fax_number": "814-584-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707725",
            "telephone_number": "814-499-3009",
            "fax_number": "814-584-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVERO MEDICAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLIVERO MEDICAL HEALTH CENTER",
        "enumeration_date": "2022-06-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "OLIVERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "814-499-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olivero Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Marie Nickerson, D.O.
• Morgan Nickerson, DO
• Nittany Eye Associates LTD
• Adam W Norfolk, P.A.
• Mark S Okonski, MD
• Olivero Medical Health Center (Olivero Pediatrics)
• Olivero Medical Health Center (Olivero Medical Laboratory)
• Olivero Rural Health Center Inc
• Olivero Rural Laboratory Inc
• Olivero Rural Pharmacy, Inc

• Pharmacy in Port Matilda, PA
• Providers in Port Matilda, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.