1275605800 NPI number — MR. DONALD J VEGLIA RPH

Table of content: MR. DONALD J VEGLIA RPH (NPI 1275605800)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275605800 NPI number — MR. DONALD J VEGLIA RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VEGLIA
Provider First Name:
DONALD
Provider Middle Name:
J
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275605800
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
198 LONG RUN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DRUMS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18222-2065
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-956-1007
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
325 W FREEDOM AVE STE 150
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURNHAM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17009-1846
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-242-3141
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  RP036848L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: RP036848L . This is a "STATE LICENSE NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: RPI002224 . This is a "IMMUNIZATION LICENSE NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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