Active NPI
Michael J Fanelli, RPH
- Pharmacist
- Feasterville, PA
National Provider Identifier
1225306376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP032108L
- Practice address
- 2 E. Street Rd
Feasterville, PA 19053 - Phone
- (215) 364-4249
- Fax
- (215) 357-4049
- NPI assigned
- Dec 5, 2011
- Last updated
- Dec 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP032108L | PA | Primary |
| Pharmacist | 183500000X | RPI000469 | PA | |
| Pharmacist | 183500000X | PP481518 | PA |
Addresses
Primary practice location
2 E. Street Rd
Feasterville, PA 19053
Mailing address
2 E. Street Rd
Feasterville, PA 19053
Phone (215) 364-4249
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 |
|---|---|---|---|
| PP481518 | PA | MD | Pharmacist |
| RP032108L | PA | MD | Pharmacist |
| RPI000469 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1225306376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 E. STREET RD",
"city": "FEASTERVILLE",
"state": "PA",
"postal_code": "19053",
"telephone_number": "215-364-4249",
"fax_number": "215-357-4049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 E. STREET RD",
"city": "FEASTERVILLE",
"state": "PA",
"postal_code": "19053",
"telephone_number": "215-364-4249",
"fax_number": "215-357-4049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANELLI",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP032108L",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RPI000469",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "PP481518",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Feasterville, PA
- Anil Nerurkar (Nerurkar MD PC)
- Ati Holdings, LLC (ATI Physical Therapy)
- Budget Pharmacy and Wellness Center
- Thomas Edward Duffield, M.D.
- Era Smile Clinic, LLC (Irina Panina)
- Feasterville Family Eye Care, Inc.
- Ella Fleyshman, PT
- For Eyes Optical of PA
- Max E Grupp, DC
- Health Specialties Inc (Ascher Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.