Active NPI
Gary Skalla
- Pharmacist
- Plains, PA
National Provider Identifier
1962400226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP045156L
- Practice address
- 220 S River St
Plains, PA 18705-1137 - Phone
- (570) 208-0277
- Fax
- (570) 208-7201
- NPI assigned
- Jul 11, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP045156L | PA | Primary |
| Pharmacist | 183500000X | 017532 | KY |
Addresses
Primary practice location
220 S River St
Plains, PA 18705-1137
Mailing address
220 S River St
Plains, PA 18705-1137
Phone (570) 208-0277
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 |
|---|---|---|---|
| 017532 | KY | MD | Pharmacist |
| RP045156L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1962400226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S RIVER ST",
"city": "PLAINS",
"state": "PA",
"postal_code": "187051137",
"telephone_number": "570-208-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S RIVER ST",
"city": "PLAINS",
"state": "PA",
"postal_code": "187051137",
"telephone_number": "570-208-0277",
"fax_number": "570-208-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKALLA",
"first_name": "GARY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP045156L",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "017532",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plains, PA
- Sheehans Pharmacy Inc (Sheehans Pharmacy LTC)
- Sheehans Pharmacy Inc (Sheehans Pharmacy)
- Ann Marie Theresa Shinal, CPHT
- Rachel Shutt, PT
- Casey Elizabeth Silvi, DMD
- Paul Gregory Slocum, PT
- Michele Smith, LPTA
- Brianna Elizabeth Smoke, MSN, FNP-BC
- Donna Sokolowski, PHYSICAL THERAPIST
- John R Spagnuolo, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.