Active NPI
Michael Terry Nan, RPH
- Pharmacist
- Sewickley, PA
National Provider Identifier
1437186277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP039120L
- Practice address
- 1000 Masonic Dr
Sewickley, PA 15143-2328 - Phone
- (412) 741-0104
- Fax
- (412) 741-6802
- NPI assigned
- Jun 27, 2006
- Last updated
- Feb 14, 2008
- 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 | RP039120L | PA | Primary |
Addresses
Primary practice location
1000 Masonic Dr
Sewickley, PA 15143-2328
Mailing address
1000 Masonic Dr
Sewickley, PA 15143-2328
Phone (412) 741-0104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP039120L | Other | PA | STATE PHARMACIST LICENSE |
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 |
|---|---|---|---|
| RP039120L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1437186277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MASONIC DR",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151432328",
"telephone_number": "412-741-0104",
"fax_number": "412-741-6802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MASONIC DR",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151432328",
"telephone_number": "412-741-0104",
"fax_number": "412-741-6802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAN",
"first_name": "MICHAEL",
"middle_name": "TERRY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP039120L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "RP039120L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sewickley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.