Simisola Neal
Individual provider Active NPI Pharmacist · Etters, PA
NPI 1457701039 · NPPES record last updated Jun 15, 2016
Key facts
- NPI
- 1457701039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP443875 (PA)
- Practice address
- 65 Newberry Pkwy
Etters, PA 17319-8967 - Phone
- (717) 938-3655
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP443875 | PA | MD | Pharmacist |
| RPI010253 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP443875 | PA | Yes |
| Pharmacist | 183500000X | RPI010253 | PA |
Addresses
Primary practice location
65 Newberry Pkwy
Etters, PA 17319-8967
Mailing address
65 Newberry Pkwy
Etters, PA 17319-8967
Other providers in Etters, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2016. 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.