Individual provider Active NPI

Bruce A Biancarelli

  • Pharmacist
  • Scott Township, PA
National Provider Identifier
1861782872
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPO34441L Issued in PA
Practice address
580 Carbondale Rd
Scott Township, PA 18447-7715
Phone
(570) 586-2749
Fax
(570) 586-1759
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPO34441L PA Primary
Pharmacist 183500000X 054352 NY

Addresses

Primary practice location

580 Carbondale Rd
Scott Township, PA 18447-7715

Mailing address

580 Carbondale Rd
Scott Township, PA 18447-7715
Phone (570) 586-2749

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

State licenses

LicenseStateTypeSpecialty
054352NYMDPharmacist
RPO34441LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Biancarellis Pharmacy Current Accepting new patients
Rite Aid of Pennsylvania LLC Past Accepting new patients
Rite Aid of Pennsylvania LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1861782872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 CARBONDALE RD",
            "city": "SCOTT TOWNSHIP",
            "state": "PA",
            "postal_code": "184477715",
            "telephone_number": "570-586-2749",
            "fax_number": "570-586-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 CARBONDALE RD",
            "city": "SCOTT TOWNSHIP",
            "state": "PA",
            "postal_code": "184477715",
            "telephone_number": "570-586-2749",
            "fax_number": "570-586-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCARELLI",
        "first_name": "BRUCE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RPO34441L",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.