Active NPI
Ernest Nicholas Coccia, RPH
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1760701015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP-032264L
- Practice address
- 800 W Moyamensing Ave
Philadelphia, PA 19148-3709 - Phone
- (215) 334-1833
- Fax
- (215) 334-5046
- NPI assigned
- May 26, 2010
- 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-032264L | PA | Primary |
Addresses
Primary practice location
800 W Moyamensing Ave
Philadelphia, PA 19148-3709
Mailing address
2913 S 13TH St
Philadelphia, PA 19148-4947
Phone (267) 273-0620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008659020003 | Medicaid | PA |
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-032264L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dej Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1043394174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1760701015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2913 S 13TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191484947",
"telephone_number": "267-273-0620",
"fax_number": "215-334-5046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W MOYAMENSING AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483709",
"telephone_number": "215-334-1833",
"fax_number": "215-334-5046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCCIA",
"first_name": "ERNEST",
"middle_name": "NICHOLAS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-26",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP-032264L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008659020003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.