Individual provider Active NPI

Daniel Siudela, RPH

  • Pharmacist
  • Aliquippa, PA
National Provider Identifier
1770800427
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP034272L Issued in PA
Practice address
2302 Sheffield Rd
Aliquippa, PA 15001-2302
Phone
(724) 375-5558
Fax
(724) 857-3080
NPI assigned
Apr 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 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 RP034272L PA Primary

Addresses

Primary practice location

2302 Sheffield Rd
Aliquippa, PA 15001-2302

Mailing address

211 Valleyview Dr
MC Donald, PA 15057-2620
Phone (412) 257-3007

Other identifiers 1

IdentifierTypeStateIssuer
RP034272LOtherPASTATE LICENSE

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
RP034272LPAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1770800427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 VALLEYVIEW DR",
            "city": "MC DONALD",
            "state": "PA",
            "postal_code": "150572620",
            "telephone_number": "412-257-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 SHEFFIELD RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150012302",
            "telephone_number": "724-375-5558",
            "fax_number": "724-857-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIUDELA",
        "first_name": "DANIEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP034272L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RP034272L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.