Individual provider Active NPI

Jenet Marincic Lockawich, RPH

  • Pharmacist
  • Sharon, PA
National Provider Identifier
1629101050
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP028111L Issued in PA
Practice address
740 E State Street
Pharmacy
Sharon, PA 16146
Phone
(724) 983-5640
Fax
(724) 983-3979
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6872 NC
Pharmacist 183500000X RP028111L PA Primary

Addresses

Primary practice location

740 E State Street
Pharmacy
Sharon, PA 16146

Mailing address

699 E State St
Sharon, PA 16146
Phone (724) 983-3817

Other names 1

  • Jenet Eileen Marincic Former name

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

LicenseStateTypeSpecialty
RP028111LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629101050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 E STATE ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "16146",
            "telephone_number": "724-983-3817",
            "fax_number": "724-983-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E STATE STREET",
            "address_2": "PHARMACY",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "16146",
            "telephone_number": "724-983-5640",
            "fax_number": "724-983-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKAWICH",
        "first_name": "JENET",
        "middle_name": "MARINCIC",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "6872",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP028111L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENET",
            "last_name": "MARINCIC",
            "middle_name": "EILEEN",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sharon, 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.

Verify at the official NPI Registry.