Jordan J Sebastian, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP453799 Issued in PA

Practice address

6 Bochicchio Blvd
Moscow, PA 18444-6691

Phone

(570) 842-6766

NPI assigned

Jan 10, 2018

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Rite Aid of Pennsylvania LLC

  dba Rite Aid Pharmacy 00216

  • Community/Retail Pharmacy
  • Moscow, PA
  • NPI 1336239458
  NPD (past)
• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1275040388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 OAK ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122916",
            "telephone_number": "570-877-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BOCHICCHIO BLVD",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184446691",
            "telephone_number": "570-842-6766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Belmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372123758",
            "country_code": "US",
            "telephone_number": "570-877-8305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "JORDAN",
        "middle_name": "J",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP453799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Rudat, MS ED, RD, LDN
• Charles Salvo
• Keli Santaniello, RPH
• Erik R Schmidt, DC
• Gary Schommer, PTA
• Jay Joseph Sochoka, R.PH.
• Daniel James Sullivan III, D.D.S.
• Daniel James Sullivan, D.M.D.
• Amanda Lee Taylor, MS, NCC, LPC
• The Light Program, Inc.

• Pharmacist in Moscow, PA
• Providers in Moscow, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.