Individual provider Active NPI

Ernest Nicholas Coccia, RPH

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1760701015
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP-032264L Issued in PA
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

Updated by the provider on May 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0008659020003MedicaidPA

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

LicenseStateTypeSpecialty
RP-032264LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.