Thomas P. Siro, R.PH.
Individual provider Active NPI Pharmacist · Schuylkill Haven, PA
NPI 1194776252 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194776252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP030255L (PA)
- Practice address
- 104 E Main St
Schuylkill Haven, PA 17972-1606 - Phone
- (570) 385-5779
- Fax
- (570) 385-3015
- NPI assigned
- May 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP030255L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siros Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP030255L | PA | Yes |
Addresses
Primary practice location
104 E Main St
Schuylkill Haven, PA 17972-1606
Mailing address
104 E Main St
Schuylkill Haven, PA 17972-1606
Phone (570) 385-5779
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19104625601 | Medicaid | PA |
Other providers in Schuylkill Haven, PA
- Schuylkill Therapy Associates
- Edward D Sesack
- Heather Lynn Shappell
- David Matthew Siminitus
- Samuel David Siminitus
- Siros Pharmacy Inc
- Francis Ga Solga
- Taralee Ann Stanton
- Tanya Stephens
- Stines Pharmacy Inc
All providers in Schuylkill Haven, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.