Carrie Ann Speal-Pavolik, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP037685L Issued in PA

Practice address

375 Philadelphia St
Indiana, PA 15701-2068

Phone

(724) 465-2243

Fax

(724) 465-0307

NPI assigned

Apr 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)
• Rite Aid of Pennsylvania LLC

  dba Rite Aid Pharmacy 00264

  • Community/Retail Pharmacy
  • Indiana, PA
  • NPI 1861581506
  NPD (past)

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1790074391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S 6TH ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013123",
            "telephone_number": "724-541-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012068",
            "telephone_number": "724-465-2243",
            "fax_number": "724-465-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAL-PAVOLIK",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP037685L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE BOARD OF PHARMACY",
            "identifier": "RP037685L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Soforic
• Ashley Elizabeth Solt, MA
• Bina Soni, M.A.
• Danielle Sorber
• Spark of Awareness Counseling, LLC
• Vincent Joseph Spellane, DPT,CSCS,CWT,BS,AS
• St. Michael's Sanctuary, LLC
• Angel Stagi
• Tannen Stahley-Lake, PSYD
• Edward Stancombe, LSW

• Pharmacist in Indiana, PA
• Providers in Indiana, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.