Active NPI
Tom De Pue, R.PH.
- Pharmacist
- Du Bois, PA
National Provider Identifier
1396738985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP-035912-L
- Practice address
- 20 Industrial Dr
Du Bois, PA 15801-3842 - Phone
- (814) 375-5005
- Fax
- (814) 375-5007
- NPI assigned
- Aug 29, 2005
- Sex
- Male
- 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 | RP-035912-L | PA | Primary |
Addresses
Primary practice location
20 Industrial Dr
Du Bois, PA 15801-3842
Mailing address
140 Old Woods Rd
Du Bois, PA 15801-8726
Phone (814) 375-0680
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP-035912-L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396738985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 OLD WOODS RD",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158018726",
"telephone_number": "814-375-0680",
"fax_number": "814-375-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 INDUSTRIAL DR",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158013842",
"telephone_number": "814-375-5005",
"fax_number": "814-375-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE PUE",
"first_name": "TOM",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP-035912-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.