Angela Bolesta, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP441876 Issued in PA

Practice address

702 Sans Souci Pkwy
Hanover Township, PA 18706-1331

Phone

(570) 825-9811

Fax

(570) 825-0995

NPI assigned

Dec 1, 2020

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1093310609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SANS SOUCI PKWY",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187061331",
            "telephone_number": "570-825-9811",
            "fax_number": "570-825-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SANS SOUCI PKWY",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187061331",
            "telephone_number": "570-825-9811",
            "fax_number": "570-825-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLESTA",
        "first_name": "ANGELA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Aldrich, OTR/L
• Anthony T Molitoris
• Apria Healthcare LLC
• Linda M. Banos, MS, PT
• Justin George Bobby, PT, DPT, CSCS
• Marnetta Bradford, CRNP
• Edward William Brunn
• Kimberly Ann Carozzoni, PHARMD
• Lorene E. Carr, RPH
• Sharon Lee Cease, OTR/L

• Pharmacist in Hanover Township, PA
• Providers in Hanover Township, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.