Active NPI
Scott M Mantua
- Pharmacist
- McAdoo, PA
National Provider Identifier
1548856420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP449561
- Practice address
- 322 S Hancock St
McAdoo, PA 18237-1608 - Phone
- (570) 929-1130
- Fax
- (570) 929-1208
- NPI assigned
- Dec 15, 2020
- Sex
- Male
- 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 | RP449561 | PA | Primary |
Addresses
Primary practice location
322 S Hancock St
McAdoo, PA 18237-1608
Mailing address
322 S Hancock St
McAdoo, PA 18237-1608
Phone (570) 929-1130
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP449561 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debalko'S Pharmacy Inc | Past | Accepting new patients | |
| Debalkos Pharmacy Inc | 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.
-
- Community/Retail Pharmacy
- McAdoo, PA
- NPI 1134179435
-
- Prosthetic/Orthotic Supplier
- McAdoo, PA
- NPI 1063465383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1548856420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 S HANCOCK ST",
"city": "MCADOO",
"state": "PA",
"postal_code": "182371608",
"telephone_number": "570-929-1130",
"fax_number": "570-929-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 S HANCOCK ST",
"city": "MCADOO",
"state": "PA",
"postal_code": "182371608",
"telephone_number": "570-929-1130",
"fax_number": "570-929-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTUA",
"first_name": "SCOTT",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP449561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAdoo, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.