Carl Dean, RPH
Individual provider Active NPI Pharmacist · Glenside, PA
NPI 1992255012 · NPPES record last updated Oct 12, 2016
Key facts
- NPI
- 1992255012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 028005 (PA)
- Practice address
- 1001 Cromwell Rd
Glenside, PA 19038-7419 - Phone
- (215) 527-1738
- NPI assigned
- Oct 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028005 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 028005 | PA | Yes |
Addresses
Primary practice location
1001 Cromwell Rd
Glenside, PA 19038-7419
Mailing address
1001 Cromwell Rd
Glenside, PA 19038-7419
Phone (215) 527-1738
Other providers in Glenside, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2016. 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.