Active NPI
Kacie Gallo, PHARMD
- Pharmacist
- Tyrone, PA
National Provider Identifier
1760080147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP455053
- Practice address
- 1365 Logan Ave
Tyrone, PA 16686-1638 - Phone
- (814) 684-5000
- NPI assigned
- Oct 16, 2020
- Last updated
- Oct 16, 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 | RP455053 | PA | Primary |
Addresses
Primary practice location
1365 Logan Ave
Tyrone, PA 16686-1638
Mailing address
1559 Viola Pike
Smithmill, PA 16680
Phone (814) 592-1496
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP455053 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1760080147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1559 VIOLA PIKE",
"city": "SMITHMILL",
"state": "PA",
"postal_code": "16680",
"telephone_number": "814-592-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 LOGAN AVE",
"city": "TYRONE",
"state": "PA",
"postal_code": "166861638",
"telephone_number": "814-684-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLO",
"first_name": "KACIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-16",
"last_updated": "2020-10-16",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP455053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyrone, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.