Active NPI
Gary W Clerici, RPH
- Community/Retail Pharmacy
- Franklin, PA
National Provider Identifier
1679700264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Practice address
- 102 Atlantic Ave
Franklin, PA 16323-2313 - Phone
- (814) 437-9115
- Fax
- (814) 437-1263
- NPI assigned
- Jun 22, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PA | Primary | |
| Pharmacist | 183500000X | RP029971L | PA |
Addresses
Primary practice location
102 Atlantic Ave
Franklin, PA 16323-2313
Mailing address
102 Atlantic Ave
Franklin, PA 16323-2313
Phone (814) 437-9115
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)
- Enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP029971L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1679700264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 ATLANTIC AVE",
"city": "FRANKLIN",
"state": "PA",
"postal_code": "163232313",
"telephone_number": "814-437-9115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 ATLANTIC AVE",
"city": "FRANKLIN",
"state": "PA",
"postal_code": "163232313",
"telephone_number": "814-437-9115",
"fax_number": "814-437-1263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLERICI",
"first_name": "GARY",
"middle_name": "W",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-22",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": null,
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP029971L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.