Active NPI
Holly Ann Shuta, RPH
- Pharmacist
- Pittston, PA
National Provider Identifier
1770764151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP044299L
- Practice address
- 401 Laurel St
Pittston, PA 18640-3557 - Phone
- (570) 534-0995
- NPI assigned
- Nov 14, 2007
- 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 | RP044299L | PA | Primary |
Addresses
Primary practice location
401 Laurel St
Pittston, PA 18640-3557
Mailing address
2566 Industry LN
Norristown, PA 19409
Phone (610) 631-3101
Other practice location 1
2566 Industry LN
Norristown, PA 19409
Phone (610) 631-3101
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 |
|---|---|---|---|
| RP044299L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1770764151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2566 INDUSTRY LN",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "19409",
"telephone_number": "610-631-3101",
"fax_number": "610-631-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 LAUREL ST",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186403557",
"telephone_number": "570-534-0995"
}
],
"practiceLocations": [
{
"address_1": "2566 Industry LN",
"address_purpose": "LOCATION",
"city": "Norristown",
"state": "PA",
"postal_code": "19409",
"country_code": "US",
"telephone_number": "610-631-3101",
"fax_number": "610-631-3107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUTA",
"first_name": "HOLLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-14",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP044299L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.