Active NPI
Angelo Corradino, RPH
- Compounded Sterile Preparations Pharmacist
- Dunmore, PA
National Provider Identifier
1619658275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounded Sterile Preparations Pharmacist
- License
- RP040731L
- Practice address
- 1000 Meade St Ste 104
Dunmore, PA 18512-3195 - Phone
- (570) 345-9170
- NPI assigned
- Jul 27, 2023
- Last updated
- Jul 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Compounded Sterile Preparations Pharmacist | 1835C0207X | RP040731L | PA | Primary |
Addresses
Primary practice location
1000 Meade St Ste 104
Dunmore, PA 18512-3195
Mailing address
1000 Meade St Ste 104
Dunmore, PA 18512-3195
Phone (570) 345-9170
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 |
|---|---|---|---|
| RP040731L | PA | MD | Medical license number |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1619658275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MEADE ST STE 104",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185123195",
"telephone_number": "570-345-9170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MEADE ST STE 104",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185123195",
"telephone_number": "570-345-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRADINO",
"first_name": "ANGELO",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0207X",
"taxonomy_group": "",
"desc": "Pharmacist, Compounded Sterile Preparations",
"state": "PA",
"license": "RP040731L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.