Active NPI
Joseph C Lauricella
- Community/Retail Pharmacy
- Hazleton, PA
National Provider Identifier
1285609628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP412867L
- Legal business name
- JOSEPH C LAURICELLA
- Practice address
- 1101 W 15TH St
Hazleton, PA 18201-2616 - Phone
- (570) 454-9608
- Fax
- (570) 454-5252
- NPI assigned
- Feb 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph C Lauricella, R.PH.
- Title
- Pharmacist
- Phone
- (570) 454-9608
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PP4128671 | PA | |
| Community/Retail Pharmacy | 3336C0003X | PP412867L | PA | Primary |
Addresses
Primary practice location
1101 W 15TH St
Hazleton, PA 18201-2616
Mailing address
1101 W 15TH St
Hazleton, PA 18201-2616
Phone (570) 454-9608
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014542220001 | Medicaid | PA | |
| 3943885 | Other | PA | NCPDP |
Other names 1
- The Medicine Shoppe
National Provider Directory
National Provider DirectoryLocations
1101 W 15th St
Hazleton, PA 18201
Phone (570) 454-9608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1285609628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W 15TH ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182012616",
"telephone_number": "570-454-9608",
"fax_number": "570-454-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W 15TH ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182012616",
"telephone_number": "570-454-9608",
"fax_number": "570-454-5252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH C LAURICELLA",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-21",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "LAURICELLA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "570-454-9608",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP4128671",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP412867L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014542220001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3943885",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Medicine Shoppe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.