Organization Active NPI

Joseph Di Matteo Inc

  • Community/Retail Pharmacy
  • Oakmont, PA
National Provider Identifier
1508925470
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413730L Issued in PA
Legal business name
JOSEPH DI MATTEO INC
Practice address
215 Allegheny Ave
Oakmont, PA 15139-2058
Phone
(412) 826-9500
Fax
(412) 826-1884
NPI assigned
Dec 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Mr. Joseph Dimatteo, RPH
Title
President
Phone
(412) 826-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP413730L PA Primary

Addresses

Primary practice location

215 Allegheny Ave
Oakmont, PA 15139-2058

Mailing address

215 Allegheny Ave
Oakmont, PA 15139-2058
Phone (412) 826-9500

Other identifiers 2

IdentifierTypeStateIssuer
001021810MedicaidPA
0005599360004MedicaidPA

Other names 1

  • The Medicine Shoppe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080218000370 PA Part B Supplier - Mass Immunization (Roster Biller Only) 2961585765 1 other NPI on this enrollment
Practice locations: Oakmont, PA; Penn Hills, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

12238 Frankstown Rd
Pittsburgh, PA 15235
Phone (412) 798-9800

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1508925470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ALLEGHENY AVE",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151392058",
            "telephone_number": "412-826-9500",
            "fax_number": "412-826-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ALLEGHENY AVE",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151392058",
            "telephone_number": "412-826-9500",
            "fax_number": "412-826-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH DI MATTEO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "DIMATTEO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-826-9500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413730L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001021810",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005599360004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakmont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.