Active NPI
Michelle Ann Fasolo, RPH
- Pharmacist
- Altoona, PA
National Provider Identifier
1205007143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP039836L
- Practice address
- 2005 Valley View Blvd
Altoona, PA 16602-4548 - Phone
- (814) 944-3535
- Fax
- (814) 941-3145
- NPI assigned
- Mar 19, 2008
- Last updated
- Mar 19, 2008
- 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 | RP039836L | PA | Primary |
Addresses
Primary practice location
2005 Valley View Blvd
Altoona, PA 16602-4548
Mailing address
2005 Valley View Blvd
Altoona, PA 16602-4548
Phone (814) 944-3535
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 |
|---|---|---|---|
| RP039836L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1205007143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 VALLEY VIEW BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024548",
"telephone_number": "814-944-3535",
"fax_number": "814-941-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 VALLEY VIEW BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024548",
"telephone_number": "814-944-3535",
"fax_number": "814-941-3145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASOLO",
"first_name": "MICHELLE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP039836L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.