Active NPI
Joseph Di Matteo Inc
- Community/Retail Pharmacy
- Oakmont, PA
National Provider Identifier
1508925470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP413730L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001021810 | Medicaid | PA | |
| 0005599360004 | Medicaid | PA |
Other names 1
- The Medicine Shoppe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.