Active NPI
Nicole Mannella Hasson, PHARMD
- Pharmacist
- Altoona, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP444577
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q109500 | Medicaid | TN | |
| 1038342500002 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP444577 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Specialty Pharmacy LLC | Diabetes Educator | Current | 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.