Individual provider Active NPI

Nicole Mannella Hasson, PHARMD

  • Pharmacist
  • Altoona, PA
National Provider Identifier
1225523152
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP444577 Issued in PA
Practice address
4200 Industrial Park Dr
Altoona, PA 16602-1737
Phone
(814) 283-1821
Fax
(814) 283-2216
NPI assigned
Jun 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP444577 PA Primary

Addresses

Primary practice location

4200 Industrial Park Dr
Altoona, PA 16602-1737

Mailing address

512 Clearview Dr
Hollidaysburg, PA 16648-9279
Phone (724) 600-9481

Other practice location 1

1333 Plank Rd Ste 200
Duncansville, PA 16635-8456
Phone (814) 283-1821

Other practice location 2

512 Clearview Dr
Hollidaysburg, PA 16648-9279
Phone (724) 600-9481

Other identifiers 2

IdentifierTypeStateIssuer
Q109500MedicaidTN
1038342500002MedicaidPA

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)
Enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP444577PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Value Specialty Pharmacy LLC Diabetes Educator CurrentSince Aug 28, 2020 Accepting new patients

Locations

4200 Industrial Park Dr
Altoona, PA 16602
Phone (855) 265-8008

1333 Plank Rd
Ste 200
Duncansville, PA 16635
Phone (814) 283-1821

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": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1225523152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 CLEARVIEW DR",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166489279",
            "telephone_number": "724-600-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 INDUSTRIAL PARK DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021737",
            "telephone_number": "814-283-1821",
            "fax_number": "814-283-2216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Plank Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Duncansville",
            "state": "PA",
            "postal_code": "166358456",
            "country_code": "US",
            "telephone_number": "814-283-1821",
            "fax_number": "814-283-2216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 Clearview Dr",
            "address_purpose": "LOCATION",
            "city": "Hollidaysburg",
            "state": "PA",
            "postal_code": "166489279",
            "country_code": "US",
            "telephone_number": "724-600-9481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSON",
        "first_name": "NICOLE",
        "middle_name": "MANNELLA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-23",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP444577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q109500",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038342500002",
            "state": "PA"
        }
    ],
    "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 Feb 27, 2026; 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.