Active NPI
Ivonna Maria Siudela, RPH
- Pharmacist
- Bridgeville, PA
National Provider Identifier
1124348131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP034903L
- Practice address
- 417 Chartiers St
Bridgeville, PA 15017-2033 - Phone
- (412) 221-8184
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- 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 | RP034903L | PA | Primary |
Addresses
Primary practice location
417 Chartiers St
Bridgeville, PA 15017-2033
Mailing address
211 Valleyview Dr
MC Donald, PA 15057-2620
Phone (412) 257-3007
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP034903L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1124348131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 VALLEYVIEW DR",
"city": "MC DONALD",
"state": "PA",
"postal_code": "150572620",
"telephone_number": "412-257-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 CHARTIERS ST",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150172033",
"telephone_number": "412-221-8184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIUDELA",
"first_name": "IVONNA",
"middle_name": "MARIA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP034903L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.