Active NPI
Nicholas Peter Dilissio, PHARMACIST
- Pharmacist
- Harleysville, PA
National Provider Identifier
1922312495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP025344L
- Practice address
- 270 Main St
Harleysville, PA 19438-2400 - Phone
- (215) 256-4749
- Fax
- (215) 513-0227
- NPI assigned
- Jul 27, 2010
- Sex
- Male
- Sole proprietor
- No
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 | RP025344L | PA | Primary |
Addresses
Primary practice location
270 Main St
Harleysville, PA 19438-2400
Mailing address
270 Main Street Rite Aid Pharmacy
Harleysville, PA 19438-2400
Phone (215) 256-4749
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP025344L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1922312495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 MAIN STREET RITE AID PHARMACY",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194382400",
"telephone_number": "215-256-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 MAIN ST",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194382400",
"telephone_number": "215-256-4749",
"fax_number": "215-513-0227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILISSIO",
"first_name": "NICHOLAS",
"middle_name": "PETER",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-27",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP025344L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harleysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.