Active NPI
Joseph Di Matteo Inc
- Community/Retail Pharmacy
- Penn Hills, PA
National Provider Identifier
1730291394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP411951L
- Legal business name
- JOSEPH DI MATTEO INC
- Practice address
- 12238 Frankstown Rd
Penn Hills, PA 15235-3404 - Phone
- (412) 798-9800
- Fax
- (412) 798-4572
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane R Silverman, R.PH.
- Title
- Pharmacist Manager
- Phone
- (412) 798-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP411951L | PA | Primary |
Addresses
Primary practice location
12238 Frankstown Rd
Penn Hills, PA 15235-3404
Mailing address
12238 Frankstown Rd
Penn Hills, PA 15235-3404
Phone (412) 798-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3940245 | Other | PA | NCPDP NUMBER |
| 0005599360002 | Medicaid | PA |
Other names 1
- Medicine Shoppe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080218000370 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2961585765 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Oakmont, PA; Penn Hills, PA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1730291394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12238 FRANKSTOWN RD",
"city": "PENN HILLS",
"state": "PA",
"postal_code": "152353404",
"telephone_number": "412-798-9800",
"fax_number": "412-798-4572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12238 FRANKSTOWN RD",
"city": "PENN HILLS",
"state": "PA",
"postal_code": "152353404",
"telephone_number": "412-798-9800",
"fax_number": "412-798-4572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH DI MATTEO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2023-03-07",
"certification_date": "2022-04-07",
"status": "A",
"authorized_official_last_name": "SILVERMAN",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PHARMACIST MANAGER",
"authorized_official_telephone_number": "412-798-9800",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP411951L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NUMBER",
"identifier": "3940245",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005599360002",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine Shoppe",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Penn Hills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.