Active NPI
Angela Michelle Rauch
- Pharmacist
- Jersey Shore, PA
National Provider Identifier
1710457734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP040252L
- Practice address
- 1440 Allegheny St
Jersey Shore, PA 17740-1116 - Phone
- (570) 398-7757
- Fax
- (570) 398-4694
- NPI assigned
- Dec 3, 2018
- Last updated
- Dec 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | RP040252L | PA | Primary |
Addresses
Primary practice location
1440 Allegheny St
Jersey Shore, PA 17740-1116
Mailing address
114 Skunk Hollow Rd
North Bend, PA 17760-9548
Phone (570) 660-1625
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 |
|---|---|---|---|
| RP040252L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets Inc | Past | Accepting new patients | |
| Weis Markets Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1710457734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 SKUNK HOLLOW RD",
"city": "NORTH BEND",
"state": "PA",
"postal_code": "177609548",
"telephone_number": "570-660-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 ALLEGHENY ST",
"city": "JERSEY SHORE",
"state": "PA",
"postal_code": "177401116",
"telephone_number": "570-398-7757",
"fax_number": "570-398-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUCH",
"first_name": "ANGELA",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-03",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP040252L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey Shore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.