Olivero Rural Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OLIVERO RURAL PHARMACY, INC

Practice address

1243 Skytop Mountain Rd Ste R3
Port Matilda, PA 16870-7725

Phone

(814) 499-3009

Fax

(814) 584-5751

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Olivero, MD

Title

Medical Director

Phone

(814) 499-3009

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1912620717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD STE R3",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707725",
            "telephone_number": "814-499-3009",
            "fax_number": "814-584-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD STE R3",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707725",
            "telephone_number": "814-499-3009",
            "fax_number": "814-584-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVERO RURAL PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "OLIVERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "814-499-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivero Medical Health Center
• Olivero Medical Health Center
• Olivero Medical Health Center
• Olivero Rural Health Center Inc
• Olivero Rural Laboratory Inc
• Daniel Olivero Jr., MA
• Daniel Olivero, M.D.
• Jonathan Olivero, MA
• Soani Olivero
• Samuel K. Owusu, M.D.

• Community/Retail Pharmacy in Port Matilda, PA
• Providers in Port Matilda, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.