Jack L Cellerari, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP030944L Issued in PA

Practice address

100 Old Lackawanna TRL
Clarks Summit, PA 18411-9108

Phone

(570) 587-4717

Fax

(570) 587-2619

NPI assigned

Dec 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cellerari Pharmacy Inc

  dba The Medicine Shoppe Pharmacy

  • Community/Retail Pharmacy
  • Clarks Summit, PA
  • NPI 1801214309
  NPD Authorized official
• Costa Drugs Inc

  • Durable Medical Equipment & Medical Supplies
  • Clarks Summit, PA
  • NPI 1891867966
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942368592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SUSQUEHANNOCK DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022748",
            "telephone_number": "570-654-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD LACKAWANNA TRL",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119108",
            "telephone_number": "570-587-4717",
            "fax_number": "570-587-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELLERARI",
        "first_name": "JACK",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP030944L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "RP030944L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine M Carrill, LCSW
• Cassandra Casey
• Michael Cassano, PHYSICAL THERAPIST
• Jennifer Cavalieri
• Cellerari Pharmacy Inc (The Medicine Shoppe Pharmacy)
• Center for Mindfulness Attention & Peak Performance LLC
• Catherine Chartorysky, COTA
• William Scott Chase II, PSY.D.
• Ronnie Lee Chastain Jr., ATC
• Donna Clark, PT

• Pharmacist in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Pharmacist in Pennsylvania

• 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.

Verify at the official NPI Registry.