Jennifer Urso, RPH, FASCP
Individual provider Active NPI Geriatric Pharmacist · Brockway, PA
NPI 1376762286 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376762286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Pharmacist 1835G0303X
- License
- RP042650L (PA)
- Practice address
- 123 Brubaker Rd
Brockway, PA 15824-2505 - Phone
- (814) 503-7400
- Fax
- (814) 503-7170
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP042650L | PA | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Long Term Care Pharmacy Inc | Past | Accepting new patients | |
| Guardian Healthcare Pharmacy, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | RP042650L | PA | Yes |
Addresses
Primary practice location
123 Brubaker Rd
Brockway, PA 15824-2505
Mailing address
248 Seanor Rd
Irwin, PA 15642-5706
Phone (724) 744-3053
Other providers in Brockway, PA
- Tiandra Louann Levis Snyder
- Sparkling Path LLC
- James Stricek
- Tri-County Nursing, LLC
- Zachary Daniel Tyler
- Bethany Vogt
- Hailey Wagner
- WRC Highland View Health Care
All providers in Brockway, PA · Geriatric Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.