Provider Demographics
NPI:1811210099
Name:NICASTRO, JONI (PHARMD)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:
Last Name:NICASTRO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 WILLIAMSON RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-1253
Mailing Address - Country:US
Mailing Address - Phone:724-589-0227
Mailing Address - Fax:724-589-0229
Practice Address - Street 1:45 WILLIAMSON RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-1253
Practice Address - Country:US
Practice Address - Phone:724-589-0227
Practice Address - Fax:724-589-0229
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442793183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist