Active NPI
Brittany Spaide
- Pharmacist
- Elysburg, PA
National Provider Identifier
1992309991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP453734
- Practice address
- 210 Industrial Park Rd
Elysburg, PA 17824-9770 - Phone
- (844) 878-5562
- Fax
- (570) 221-2711
- NPI assigned
- Nov 30, 2020
- Sex
- Female
- 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 | RP453734 | PA | Primary |
Addresses
Primary practice location
210 Industrial Park Rd
Elysburg, PA 17824-9770
Mailing address
62 Wall St
Nescopeck, PA 18635-1236
Phone (570) 854-9701
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 |
|---|---|---|---|
| RP453734 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708732800000",
"number": "1992309991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 WALL ST",
"city": "NESCOPECK",
"state": "PA",
"postal_code": "186351236",
"telephone_number": "570-854-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 INDUSTRIAL PARK RD",
"city": "ELYSBURG",
"state": "PA",
"postal_code": "178249770",
"telephone_number": "844-878-5562",
"fax_number": "570-221-2711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAIDE",
"first_name": "BRITTANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2024-02-24",
"certification_date": "2024-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP453734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.