Active NPI
Amy Lee Detweiler, R.PH.
- Pharmacist
- Glassport, PA
National Provider Identifier
1497972368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP038950L
- Practice address
- 210 9TH St
Glassport, PA 15045-1652 - Phone
- (412) 678-5109
- Fax
- (412) 678-7219
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP038950L | PA | Primary |
Addresses
Primary practice location
210 9TH St
Glassport, PA 15045-1652
Mailing address
49 Saint James Dr
Uniontown, PA 15401-4159
Phone (724) 437-5686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP038950L | Other | PA | PHARMACY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP038950L | 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 |
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.
-
dba Rite Aid Pharmacy 01925
- Community/Retail Pharmacy
- Glassport, PA
- NPI 1104915859
-
- Community/Retail Pharmacy
- Clearfield, PA
- NPI 1508431081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497972368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 SAINT JAMES DR",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154014159",
"telephone_number": "724-437-5686",
"fax_number": "412-678-7219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 9TH ST",
"city": "GLASSPORT",
"state": "PA",
"postal_code": "150451652",
"telephone_number": "412-678-5109",
"fax_number": "412-678-7219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETWEILER",
"first_name": "AMY",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP038950L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "RP038950L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glassport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.