Active NPI
Darrell William Dudeck, R.PH.
- Pharmacist
- Shamokin, PA
National Provider Identifier
1730456112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP-438287
- Practice address
- 22 N 8TH St
Shamokin, PA 17872-5607 - Phone
- (570) 259-1171
- NPI assigned
- Nov 29, 2011
- Last updated
- Nov 29, 2011
- 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 | RP-438287 | PA | Primary |
Addresses
Primary practice location
22 N 8TH St
Shamokin, PA 17872-5607
Mailing address
400 W. Spruce St
Tom Olcese Pharmacy
Shamokin, PA 17872
Phone (570) 648-7891
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP-438287 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janice E Olcese | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
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": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1730456112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W. SPRUCE ST",
"address_2": "TOM OLCESE PHARMACY",
"city": "SHAMOKIN",
"state": "PA",
"postal_code": "17872",
"telephone_number": "570-648-7891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 N 8TH ST",
"city": "SHAMOKIN",
"state": "PA",
"postal_code": "178725607",
"telephone_number": "570-259-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDECK",
"first_name": "DARRELL",
"middle_name": "WILLIAM",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP-438287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shamokin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.