Active NPI
Ronald J Lattanzio Sr., RPH
- Pharmacist
- Saint Michael, PA
National Provider Identifier
1619008984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP033622L
- Practice address
- 552 Locust St.
Saint Michael, PA 15951-0306 - Phone
- (814) 495-9437
- NPI assigned
- Mar 8, 2007
- 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 | RP033622L | PA | Primary |
Addresses
Primary practice location
552 Locust St.
Saint Michael, PA 15951-0306
Mailing address
1410 Murphy Dr
Johnstown, PA 15905-1529
Phone (814) 255-1120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP033622L | Other | PA | PHARMACIST 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 |
|---|---|---|---|
| RP033622L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest Hills Pharmacy Inc | Current | Accepting new patients | |
| Forest Hills Pharmacy Inc | Current | 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
- Saint Michael, PA
- NPI 1891793808
-
- Long Term Care Pharmacy
- Saint Michael, PA
- NPI 1891794665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619008984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 MURPHY DR",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159051529",
"telephone_number": "814-255-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 LOCUST ST.",
"city": "SAINT MICHAEL",
"state": "PA",
"postal_code": "159510306",
"telephone_number": "814-495-9437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTANZIO",
"first_name": "RONALD",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP033622L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RP033622L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Michael, 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.