Individual provider Active NPI

Spero Stefanis, PHARM.D

  • Pharmacist
  • New Castle, PA
National Provider Identifier
1194295428
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP446990 Issued in PA
Practice address
2412 Wilmington Rd
New Castle, PA 16105-1939
Phone
(724) 652-1451
Fax
(724) 657-0592
NPI assigned
Nov 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP446990 PA Primary

Addresses

Primary practice location

2412 Wilmington Rd
New Castle, PA 16105-1939

Mailing address

2412 Wilmington Rd
New Castle, PA 16105-1939
Phone (724) 652-1451

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
RP446990PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Drug, L.L.C. Current Accepting new patients
Hyde Drug, L.L.C. CurrentSince Mar 9, 2020 Accepting new patients

Locations

2412 Wilmington Rd
New Castle, PA 16105
Phone (724) 652-1451

112 N Liberty St
New Castle, PA 16102
Phone (724) 652-1451

Organizations & group practices 2

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1194295428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051939",
            "telephone_number": "724-652-1451",
            "fax_number": "724-657-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051939",
            "telephone_number": "724-652-1451",
            "fax_number": "724-657-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANIS",
        "first_name": "SPERO",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.