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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP438022 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients | |
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.