Active NPI
Paul David Colletti, RPH
- Pharmacist
- Weatherford, TX
National Provider Identifier
1669117958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20956
- Practice address
- 933 Hilltop Dr
Weatherford, TX 76086-8807 - Phone
- (817) 395-3610
- NPI assigned
- May 1, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 20956 | TX | Primary |
Addresses
Primary practice location
933 Hilltop Dr
Weatherford, TX 76086-8807
Mailing address
3730 W 5TH St
Fort Worth, TX 76107-2020
Phone (817) 395-3610
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 |
|---|---|---|---|
| 20956 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651363200000",
"number": "1669117958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 W 5TH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072020",
"telephone_number": "817-395-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 HILLTOP DR",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760868807",
"telephone_number": "817-395-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLETTI",
"first_name": "PAUL",
"middle_name": "DAVID",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-01",
"last_updated": "2022-05-01",
"certification_date": "2022-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "20956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.