Derek Distasio, is a
Pharmacist based in West Norriton, Pennsylvania. Derek Distasio is licensed to practice in Pennsylvania (license number RH459005) and his current practice location is
2500 Boulevard Of The Generals, West Norriton, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(610) 539-5093.
NPI number for Derek Distasio is 1386464568 and his current mailing address is 2500 Boulevard Of The Generals, West Norriton, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386464568.
Healthcare Provider's Profile
Full Name | Derek Distasio |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 2500 Boulevard Of The Generals, West Norriton, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386464568
- Provider Enumeration Date: 10/14/2024
- Last Update Date: 10/14/2024
Medical Identifiers
Medical identifiers for Derek Distasio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386464568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | RH459005 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derek Distasio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Derek Distasio, 2500 Boulevard Of The Generals, West Norriton, PA 19403-3692 Ph: (610) 539-5093 | Derek Distasio, 2500 Boulevard Of The Generals, West Norriton, PA 19403-3692 Ph: (610) 539-5093 |
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