Active NPI
Lisa Ciccolella
- Pharmacist
- Cranberry TWP, PA
National Provider Identifier
1720684871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP439431
- Practice address
- 1181 Freedom Rd
Cranberry TWP, PA 16066-4913 - Phone
- (724) 742-1888
- NPI assigned
- Dec 4, 2020
- Last updated
- Dec 4, 2020
- Sex
- Female
- 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 | RP439431 | PA | Primary |
Addresses
Primary practice location
1181 Freedom Rd
Cranberry TWP, PA 16066-4913
Mailing address
228 Pine Crest CT
Gibsonia, PA 15044-8096
Phone (412) 304-3256
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 |
|---|---|---|---|
| RP439431 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1720684871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 PINE CREST CT",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "150448096",
"telephone_number": "412-304-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 FREEDOM RD",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160664913",
"telephone_number": "724-742-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICCOLELLA",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP439431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranberry TWP, PA
- Chenet Cosmetic and Family Dentistry P C
- Child and Adolescent Clinical Associates, Inc. (Clinical Associates)
- Neelima Chiniwalla, D.M.D., M.D.S.
- Joann Chmielewski, CRNP
- Lu Y Chu, DDS
- Philip Jerome Cichon, MD
- Michelle Marie Cindrich
- Michael Richard Clopp, DMD
- Wayne E Clouse, DPM
- Cognitive Behavior Institute, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.