NPIMap

Individual provider Active NPI

Stephanie Leeann Mitchell, PHARMD

  • Pharmacist
  • Imperial, PA
National Provider Identifier
1144732256
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP452080 Issued in PA
Practice address
103 W Allegheny Rd
Imperial, PA 15126-9779
Phone
(724) 695-7317
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP452080 PA Primary

Addresses

Primary practice location

103 W Allegheny Rd
Imperial, PA 15126-9779

Mailing address

15 Ciotti LN
Canonsburg, PA 15317-5602

Other practice location 1

1700 Pine Hollow Rd
Mc Kees Rocks, PA 15136-1578
Phone (412) 771-6366

Other practice location 2

3210 Banksville Rd
Pittsburgh, PA 15216-2757
Phone (412) 388-1601

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP452080PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrift Drug Inc Past Accepting new patients
Rite Aid of Pennsylvania LLC Past Accepting new patients
Rite Aid of Pennsylvania LLC Past Accepting new patients
Thrift Drug Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144732256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CIOTTI LN",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153175602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W ALLEGHENY RD",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151269779",
            "telephone_number": "724-695-7317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Pine Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Kees Rocks",
            "state": "PA",
            "postal_code": "151361578",
            "country_code": "US",
            "telephone_number": "412-771-6366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3210 Banksville Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152162757",
            "country_code": "US",
            "telephone_number": "412-388-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "STEPHANIE",
        "middle_name": "LEEANN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.