Active NPI
Andrea Mary Depasquale, PHARMD
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1386248441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP448845
- Practice address
- 3331 Grant Ave
Philadelphia, PA 19114-2629 - Phone
- (215) 464-2636
- Fax
- (215) 464-2717
- NPI assigned
- Nov 29, 2020
- Last updated
- Nov 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP448845 | PA | Primary |
Addresses
Primary practice location
3331 Grant Ave
Philadelphia, PA 19114-2629
Mailing address
1 Williams LN
Yardley, PA 19067-5901
Phone (215) 680-6707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP448845 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Pennsylvania CVS Pharmacy, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1386248441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WILLIAMS LN",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190675901",
"telephone_number": "215-680-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3331 GRANT AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191142629",
"telephone_number": "215-464-2636",
"fax_number": "215-464-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPASQUALE",
"first_name": "ANDREA",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP448845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Michael Joseph Depalma, MD
- Natalie R Depalma
- Richard Salvatore Depalma, D.O.
- John Depaolo, MD, PHD
- Department of Military Affairs Commonwealth of Pennsylvania (Delaware Valley Veterns Home Pharmacy)
- Jacqueline W. Depasse, MD
- Dependable Care Services of PA Inc (Dependable Nursing Services Of FL INC)
- Dependable Home Care Inc.
- Daniel Depietro
- Stanley T Depman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.