Individual provider Active NPI

Robert F Micco, RPH

  • Pharmacist
  • Monaca, PA
National Provider Identifier
1659025591
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP039972L Issued in PA
Practice address
3589 Brodhead Rd
Monaca, PA 15061-3138
Phone
(724) 774-2990
NPI assigned
Feb 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 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 RP039972L PA Primary

Addresses

Primary practice location

3589 Brodhead Rd
Monaca, PA 15061-3138

Mailing address

121 Cottonwood Dr
Aliquippa, PA 15001-9456
Phone (724) 650-3365

Other practice location 1

4969 Tuscarawas Rd
Beaver, PA 15009-1003
Phone (724) 495-6583

Other practice location 2

2016 W State St
New Castle, PA 16101-1258
Phone (724) 658-9670

Other identifiers 1

IdentifierTypeStateIssuer
RP039972LOtherPAPA BOARD OF PHARMACY

Electronic endpoints 4

TypeEndpointUseAffiliation
Other URL www.thehometownpharmacies.com
Other URL www.thehometownpharmacies.com
Other URL www.thehometownpharmacies.com
Other URL www.thehometownpharmacies.com

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
RP039972LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1659025591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 COTTONWOOD DR",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150019456",
            "telephone_number": "724-650-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3589 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613138",
            "telephone_number": "724-774-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4969 Tuscarawas Rd",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150091003",
            "country_code": "US",
            "telephone_number": "724-495-6583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2016 W State St",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161011258",
            "country_code": "US",
            "telephone_number": "724-658-9670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICCO",
        "first_name": "ROBERT",
        "middle_name": "F",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP039972L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BOARD OF PHARMACY",
            "identifier": "RP039972L",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.thehometownpharmacies.com",
            "affiliation": "N",
            "address_1": "3589 Brodhead Rd",
            "city": "Monaca",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150613138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.thehometownpharmacies.com",
            "affiliation": "N",
            "address_1": "3589 Brodhead Rd",
            "city": "Monaca",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150613138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.thehometownpharmacies.com",
            "affiliation": "N",
            "address_1": "4969 Tuscarawas Rd",
            "city": "Beaver",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150091003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.thehometownpharmacies.com",
            "affiliation": "N",
            "address_1": "3589 Brodhead Rd",
            "city": "Monaca",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150613138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monaca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.