Active NPI
Lori Marie Mikolosko
- Pharmacist
- Pittston, PA
National Provider Identifier
1144511429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP041521L
- Practice address
- 120 Laurel PLZ
Pittston, PA 18640-3546 - Phone
- (570) 655-0904
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- Sole proprietor
- No
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 | RP041521L | PA | Primary |
Addresses
Primary practice location
120 Laurel PLZ
Pittston, PA 18640-3546
Mailing address
298 Cider Run Rd
Dallas, PA 18612-6016
Phone (570) 333-0516
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 |
|---|---|---|---|
| RP041521L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1144511429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "298 CIDER RUN RD",
"city": "DALLAS",
"state": "PA",
"postal_code": "186126016",
"telephone_number": "570-333-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 LAUREL PLZ",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186403546",
"telephone_number": "570-655-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKOLOSKO",
"first_name": "LORI",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP041521L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.