Sean Ferguson
Individual provider Active NPI Pharmacist · Bedford, PA
NPI 1760146054 · NPPES record last updated Oct 24, 2021
Key facts
- NPI
- 1760146054
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP042663L (PA)
- Practice address
- 510 E Pitt St
Bedford, PA 15522-1444 - Phone
- (814) 623-1188
- NPI assigned
- Oct 24, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP042663L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant Eagle, Inc. | Past |
Accepting new patients | |
| Giant Eagle, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP042663L | PA | Yes |
Addresses
Primary practice location
510 E Pitt St
Bedford, PA 15522-1444
Mailing address
510 E Pitt St
Bedford, PA 15522-1444
Phone (814) 623-1188
Other providers in Bedford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.