Individual provider Active NPI

Tom Horeis, PHARM D

  • Pharmacist
  • Peckville, PA
National Provider Identifier
1396253183
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP442595 Issued in PA
Practice address
3 Circle Dr
Peckville, PA 18452-1003
Phone
(570) 687-1028
NPI assigned
Jan 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP442595 PA Primary

Addresses

Primary practice location

3 Circle Dr
Peckville, PA 18452-1003

Mailing address

3 Circle Dr
Peckville, PA 18452-1003
Phone (570) 383-5473

Other practice location 1

3057 Easton Turnpike
waymart, PA 18452
Phone (570) 488-8246

Other practice location 2

3057 Easton Tpke
Waymart, PA 18472-3122
Phone (570) 488-8246

Other practice location 3

3057 Eric Williams Memorial Drive
Waymart, PA 18472
Phone (570) 488-8246

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

LicenseStateTypeSpecialty
RP442595PAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396253183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CIRCLE DR",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184521003",
            "telephone_number": "570-383-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CIRCLE DR",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184521003",
            "telephone_number": "570-687-1028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3057 Easton Turnpike",
            "address_purpose": "LOCATION",
            "city": "waymart",
            "state": "PA",
            "postal_code": "18452",
            "country_code": "US",
            "telephone_number": "570-488-8246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3057 Easton Tpke",
            "address_purpose": "LOCATION",
            "city": "Waymart",
            "state": "PA",
            "postal_code": "184723122",
            "country_code": "US",
            "telephone_number": "570-488-8246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3057 Eric Williams Memorial Drive",
            "address_purpose": "LOCATION",
            "city": "Waymart",
            "state": "PA",
            "postal_code": "18472",
            "country_code": "US",
            "telephone_number": "570-488-8246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOREIS",
        "first_name": "TOM",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP442595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peckville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.