Active NPI
Mario Zuccaroli, PHARMACIST
- Pharmacist
- Shermans Dale, PA
National Provider Identifier
1689235376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP444258
- Practice address
- 5201 Spring Rd
Shermans Dale, PA 17090-8539 - Phone
- (717) 582-7781
- NPI assigned
- Jun 24, 2019
- 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 | RP444258 | PA | Primary |
Addresses
Primary practice location
5201 Spring Rd
Shermans Dale, PA 17090-8539
Mailing address
5201 Spring Road
Shermans Dale, PA 17090
Phone (717) 582-7781
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NexGen | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP444258 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1689235376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 SPRING ROAD",
"city": "SHERMANS DALE",
"state": "PA",
"postal_code": "17090",
"telephone_number": "717-582-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 SPRING RD",
"city": "SHERMANS DALE",
"state": "PA",
"postal_code": "170908539",
"telephone_number": "717-582-7781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCCAROLI",
"first_name": "MARIO",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP444258",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NexGen",
"affiliation": "N",
"endpointDescription": "Rite Aid dispensing data",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5201 Spring Rd",
"city": "Shermans Dale",
"state": "PA",
"country_code": "US",
"postal_code": "170908539",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Shermans Dale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.