Patricia Ann Dematto, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP044024L Issued in PA

Practice address

200 South Best Ave
Walnutport, PA 18088

Phone

(610) 767-9595

Fax

(610) 760-2531

NPI assigned

Mar 16, 2007

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

Other identifiers 1

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

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.

• Eckerd Corporation

  • Community/Retail Pharmacy
  • Walnutport, PA
  • NPI 1740380104
  NPD (past)
• Eckerd Corporation

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104950328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MOUNTAIN TOP RD",
            "city": "SUMMIT HILL",
            "state": "PA",
            "postal_code": "182501758",
            "telephone_number": "570-645-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH BEST AVE",
            "city": "WALNUTPORT",
            "state": "PA",
            "postal_code": "18088",
            "telephone_number": "610-767-9595",
            "fax_number": "610-760-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTO",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP044024L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "RP044024L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colonial Intermediate Unit 20
• Cressman and Yablonski
• Debra Ellen Cressman, M.D.
• Alexis Michael Cruz
• Dylan Danko, CRNP
• Lisa Jill Doherty, DO
• Stephanie Dorney
• Brandon M Dunbar, O.D.
• Eckerd Corporation
• Tricia-Kay Ellersick-Lopez, CRNP

• Pharmacist in Walnutport, PA
• Providers in Walnutport, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.