Active NPI
Tom Horeis, PHARM D
- Pharmacist
- Peckville, PA
National Provider Identifier
1396253183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP442595
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| RP442595 | PA | MD | Pharmacist |
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.