Karen P Ridilla, RPH
Individual provider Active NPI Pharmacist · Derry, PA
NPI 1376860858 · NPPES record last updated Apr 23, 2010
Key facts
- NPI
- 1376860858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP028603L (PA)
- Practice address
- 222 Y St
Derry, PA 15627-1259 - Phone
- (724) 694-9811
- NPI assigned
- Apr 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| RP028603L | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP028603L | PA | Yes |
Addresses
Primary practice location
222 Y St
Derry, PA 15627-1259
Mailing address
840 Weldon St
Latrobe, PA 15650-1609
Phone (724) 539-2541
Other providers in Derry, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2010. 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.