Organization Active NPI

Joseph C Lauricella

  • Community/Retail Pharmacy
  • Hazleton, PA
National Provider Identifier
1285609628
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412867L Issued in PA
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0014542220001MedicaidPA
3943885OtherPANCPDP

Other names 1

  • The Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.