Active NPI
Gabriella Ann Colucci
- Pharmacy Technician
- New Castle, PA
National Provider Identifier
1215600051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PI124030
- Practice address
- 2412 Wilmington Rd
New Castle, PA 16105-1939 - Phone
- (724) 652-1451
- Fax
- (724) 657-0592
- NPI assigned
- Jul 28, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | PI124030 | PA | |
| Pharmacy Technician | 183700000X | PI124030 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PI124030 | PA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyde Drug, L.L.C. | Current | Accepting new patients |
Locations
2412 Wilmington Rd
New Castle, PA 16105
Phone (724) 652-1451
Organizations & group practices 1
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": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1215600051",
"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": "COLUCCI",
"first_name": "GABRIELLA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "PA",
"license": "PI124030",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PA",
"license": "PI124030",
"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 Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.