Individual provider Active NPI

Thomas J Bianculli, RPH

  • Pharmacist
  • Wexford, PA
National Provider Identifier
1467772087
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP025258L Issued in PA
Practice address
10554 Perry Hwy RM 2
Store
Wexford, PA 15090-9244
Phone
(724) 935-4583
Fax
(724) 934-3209
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP025258L PA Primary

Addresses

Primary practice location

10554 Perry Hwy RM 2
Store
Wexford, PA 15090-9244

Mailing address

10554 Perry Hwy RM 2
Store
Wexford, PA 15090-9244
Phone (724) 935-4583

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

LicenseStateTypeSpecialty
RP025258LPAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1467772087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10554 PERRY HWY RM 2",
            "address_2": "STORE",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909244",
            "telephone_number": "724-935-4583",
            "fax_number": "724-934-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10554 PERRY HWY RM 2",
            "address_2": "STORE",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909244",
            "telephone_number": "724-935-4583",
            "fax_number": "724-934-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCULLI",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP025258L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.