Active NPI
Michael John Slavoski, RPH
- Pharmacist
- Shavertown, PA
National Provider Identifier
1861517898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP035485L
- Practice address
- 122 Wellington Rd
Shavertown, PA 18708-1342 - Phone
- (570) 675-5825
- Fax
- (570) 675-4067
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | RP035485L | PA | Primary |
Addresses
Primary practice location
122 Wellington Rd
Shavertown, PA 18708-1342
Mailing address
122 Wellington Rd
Shavertown, PA 18708-1342
Phone (570) 675-5825
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 |
|---|---|---|---|
| RP035485L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861517898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 WELLINGTON RD",
"city": "SHAVERTOWN",
"state": "PA",
"postal_code": "187081342",
"telephone_number": "570-675-5825",
"fax_number": "570-675-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 WELLINGTON RD",
"city": "SHAVERTOWN",
"state": "PA",
"postal_code": "187081342",
"telephone_number": "570-675-5825",
"fax_number": "570-675-4067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAVOSKI",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP035485L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shavertown, PA
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 02568)
- Brittany Marie Rusczyk, D.C.
- Corinne Marie Scanlon, LBS
- Gregory Johnston Shannon, LPC
- Tae I Shynn, MD
- Mitchell Alan Smolow, D.M.D.
- Tara Cecelia Stephens, PA-C
- Christina Marie Strunk, RPH
- Vera Lynn Supey
- Sutton Psychiatry & Behavioral Health PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.