Brian Eastlick, RPH

Individual provider Active NPI Pharmacist · Sharon, PA

NPI 1447546528 · NPPES record last updated Jun 27, 2011

Key facts

NPI
1447546528
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP438022 (PA)
Practice address
811 E State St
Sharon, PA 16146-3340
Phone
(724) 342-4680
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP438022PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Pennsylvania LLC Past Accepting new patients
Rite Aid of Pennsylvania LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP438022 PA Yes

Addresses

Primary practice location

811 E State St
Sharon, PA 16146-3340

Mailing address

811 E State St
Sharon, PA 16146-3340
Phone (724) 342-4680

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 27, 2011.

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1447546528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E STATE ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161463340",
            "telephone_number": "724-342-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E STATE ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161463340",
            "telephone_number": "724-342-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTLICK",
        "first_name": "BRIAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, PA

All providers in Sharon, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.