Anthony Carl Stellato, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP033753L Issued in PA

Practice address

3 Pennsylvania Ave E
The Medicine Shoppe
Warren, PA 16365-2526

Phone

(814) 726-3741

Fax

(814) 726-3716

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

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.

• Warren Ms LLC

  • Community/Retail Pharmacy
  • Warren, PA
  • NPI 1255514691
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2010.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1093894701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 VALLEY VIEW DR",
            "city": "RUSSELL",
            "state": "PA",
            "postal_code": "163454053",
            "telephone_number": "814-757-9418",
            "fax_number": "814-726-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PENNSYLVANIA AVE E",
            "address_2": "THE MEDICINE SHOPPE",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652526",
            "telephone_number": "814-726-3741",
            "fax_number": "814-726-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLATO",
        "first_name": "ANTHONY",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP033753L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMMUNIZING RPH",
            "identifier": "RPI001147",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Warren, PA
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.