Active NPI
John A Lamantia
- Pharmacist
- Weirton, WV
National Provider Identifier
1104171107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0003759
- Practice address
- 250 Three Springs Dr
Weirton, WV 26062-3815 - Phone
- (307) 723-0570
- Fax
- (304) 723-0790
- NPI assigned
- Jul 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | RP0003759 | WV | Primary |
Addresses
Primary practice location
250 Three Springs Dr
Weirton, WV 26062-3815
Mailing address
250 Three Springs Dr
Weirton, WV 26062-3815
Phone (307) 723-0570
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 |
|---|---|---|---|
| RP0003759 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1104171107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 THREE SPRINGS DR",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623815",
"telephone_number": "307-723-0570",
"fax_number": "304-723-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 THREE SPRINGS DR",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623815",
"telephone_number": "307-723-0570",
"fax_number": "304-723-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMANTIA",
"first_name": "JOHN",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0003759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.