Elaine Coutros Blondek

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP032788L Issued in PA

Practice address

921 Drinker Tpke
Covington Township, PA 18444-7947

Phone

(570) 842-7848

NPI assigned

Mar 18, 2016

Last updated

Mar 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1770944662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HILLSIDE DR",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184448624",
            "telephone_number": "570-650-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 DRINKER TPKE",
            "city": "COVINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184447947",
            "telephone_number": "570-842-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDEK",
        "first_name": "ELAINE",
        "middle_name": "COUTROS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP032788L",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "RI01689000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "RI01689000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "RP032788L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Arnold, D.C.
• Covington Independent Volunteer Fire Co
• Mariah Lee Davis, LCSW
• Susan D Decesare, PSY. D.
• Heather Elick
• Eugene D Harasym

• Pharmacist in Covington Township, PA
• Providers in Covington Township, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.