Richard Rene Amelotte, PHARMACIST
Individual provider Active NPI Community/Retail Pharmacy · Hellam, PA
NPI 1679616841 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679616841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- RP026064L (PA)
- Practice address
- 72 West Market Street
Hellam, PA 17406 - Phone
- (717) 755-4409
- Fax
- (717) 718-9375
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP026064L | PA | MD | Community/Retail Pharmacy |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | RP026064L | PA | Yes |
Addresses
Primary practice location
72 West Market Street
Hellam, PA 17406
Mailing address
72 West Market Street
Hellam, PA 17406
Phone (717) 755-4409
Other providers in Hellam, PA
All providers in Hellam, PA · Community/Retail Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.