Individual provider Active NPI

Stanley J Semerod Jr., RPH

  • Pharmacist
  • Hickory, PA
National Provider Identifier
1629796032
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP036877L Issued in PA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 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 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

IdentifierTypeStateIssuer
RP036877LOtherPACOMMONWEALTH 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

LicenseStateTypeSpecialty
RP036877LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.