Individual provider Active NPI

Walter John Lizza

  • Pharmacist
  • Uniontown, PA
National Provider Identifier
1558089177
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP036816L Issued in PA
Practice address
173 Morgantown St
Uniontown, PA 15401-4718
Phone
(724) 437-7801
Fax
(724) 437-7808
NPI assigned
Aug 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP036816L PA Primary

Addresses

Primary practice location

173 Morgantown St
Uniontown, PA 15401-4718

Mailing address

173 Morgantown St
Uniontown, PA 15401-4718
Phone (724) 437-7801

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

LicenseStateTypeSpecialty
RP036816LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Altruix Uniontown, LLC CurrentSince Aug 28, 2022 Accepting new patients
Altruix Uniontown, LLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

173 Morgantown St
Uniontown, PA 15401
Phone (724) 437-7801

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.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1558089177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MORGANTOWN ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014718",
            "telephone_number": "724-437-7801",
            "fax_number": "724-437-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MORGANTOWN ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014718",
            "telephone_number": "724-437-7801",
            "fax_number": "724-437-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZZA",
        "first_name": "WALTER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP036816L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.