Individual provider Active NPI

Ronald J Messick

  • Community/Retail Pharmacy
  • California, PA
National Provider Identifier
1447279294
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413276L Issued in PA
Practice address
322 3Rd St
California, PA 15419-1134
Phone
(724) 938-2395
Fax
(724) 938-8244
NPI assigned
Jul 19, 2006
Last updated
Oct 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X JFYUMUXFJ PA
Pharmacy 333600000X PP413276L PA
Pharmacist 183500000X RP032797L PA
Community/Retail Pharmacy 3336C0003X PP413276L PA Primary

Addresses

Primary practice location

322 3Rd St
California, PA 15419-1134

Mailing address

322 3Rd St
California, PA 15419-1134
Phone (724) 938-2395

Other identifiers 1

IdentifierTypeStateIssuer
0011188830001MedicaidPA

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

State licenses

LicenseStateTypeSpecialty
RP032797LPAMDPharmacist
JFYUMUXFJPAMDDurable Medical Equipment & Medical Supplies
PP413276LPAMDPharmacy

Organizations & group practices 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1447279294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 3RD ST",
            "city": "CALIFORNIA",
            "state": "PA",
            "postal_code": "154191134",
            "telephone_number": "724-938-2395",
            "fax_number": "724-938-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 3RD ST",
            "city": "CALIFORNIA",
            "state": "PA",
            "postal_code": "154191134",
            "telephone_number": "724-938-2395",
            "fax_number": "724-938-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSICK",
        "first_name": "RONALD",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "JFYUMUXFJ",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413276L",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP032797L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413276L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011188830001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in California, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.