Active NPI
Stanley J Semerod Jr., RPH
- Pharmacist
- Hickory, PA
National Provider Identifier
1629796032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP036877L
- Practice address
- 25 Main St
Hickory, PA 15340-1169 - Phone
- (412) 495-1515
- Fax
- (724) 249-6205
- NPI assigned
- Aug 22, 2022
- Last updated
- Aug 22, 2022
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP036877L | PA | Primary |
Addresses
Primary practice location
25 Main St
Hickory, PA 15340-1169
Mailing address
25 Main St
Hickory, PA 15340-1169
Phone (412) 495-1515
Other practice location 1
5502 Baum Blvd
Pittsburgh, PA 15232-1204
Phone (412) 465-9213
Other practice location 2
1340 Main St
Burgettstown, PA 15021-1080
Phone (724) 947-4722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP036877L | Other | PA | COMMONWEALTH OF PA DEPT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIR |
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 |
|---|---|---|---|
| RP036877L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients | |
| Rite Aid of Pennsylvania LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Clearfield, PA
- NPI 1508431081
-
dba Rite Aid Pharmacy 03508
- Community/Retail Pharmacy
- Burgettstown, PA
- NPI 1700975463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1629796032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MAIN ST",
"city": "HICKORY",
"state": "PA",
"postal_code": "153401169",
"telephone_number": "412-495-1515",
"fax_number": "724-249-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MAIN ST",
"city": "HICKORY",
"state": "PA",
"postal_code": "153401169",
"telephone_number": "412-495-1515",
"fax_number": "724-249-6205"
}
],
"practiceLocations": [
{
"address_1": "5502 Baum Blvd",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152321204",
"country_code": "US",
"telephone_number": "412-465-9213",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1340 Main St",
"address_purpose": "LOCATION",
"city": "Burgettstown",
"state": "PA",
"postal_code": "150211080",
"country_code": "US",
"telephone_number": "724-947-4722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEMEROD",
"first_name": "STANLEY",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP036877L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF PA DEPT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIR",
"identifier": "RP036877L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, PA
- Bruce K Maskarinec, DO
- Patricia a. Simpson, LCSW, BCD LLC
- Preferred Primary Care Physicians (PPCP Hickory Burgettstown)
- Sherry Ann Raineri, LCSW
- Rachel Royer, PA-C
- Sharpnack and Maskarinec Medical Group, PC (Hickory Family Practice)
- Bruce C Sharpnack, MD
- Kelly Sue Shelton, PA-C
- Patricia Ann Simpson, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.