Paul Sova
Individual provider Active NPI Pharmacist · Olyphant, PA
NPI 1992004295 · NPPES record last updated Mar 25, 2011
Key facts
- NPI
- 1992004295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP033746L (PA)
- Practice address
- 1650 Main St
Olyphant, PA 18447-1334 - Phone
- (570) 489-8834
- NPI assigned
- Mar 25, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP033746L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients | |
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP033746L | PA | Yes |
Addresses
Primary practice location
1650 Main St
Olyphant, PA 18447-1334
Mailing address
113 Maria Blvd
Archbald, PA 18403-1552
Phone (570) 876-8245
Other providers in Olyphant, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.