Individual provider Active NPI

Ericka Marie Impaglia, PHARM D.

  • Pharmacist
  • Wilkes Barre, PA
National Provider Identifier
1831482173
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP442976 Issued in PA
Practice address
250 Old River Rd
Wilkes Barre, PA 18702-1621
Phone
(570) 822-5794
Fax
(570) 824-8730
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP442976 PA Primary

Addresses

Primary practice location

250 Old River Rd
Wilkes Barre, PA 18702-1621

Mailing address

250 Old River Rd
Wilkes Barre, PA 18702-1621
Phone (570) 822-5794

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP442976PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1831482173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 OLD RIVER RD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187021621",
            "telephone_number": "570-822-5794",
            "fax_number": "570-824-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OLD RIVER RD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187021621",
            "telephone_number": "570-822-5794",
            "fax_number": "570-824-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMPAGLIA",
        "first_name": "ERICKA",
        "middle_name": "MARIE",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP442976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.