MR. LEO MICHAEL LUCCI (NPI# 1255421731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255421731 |
| Entity Type | Individual |
| Full Name | MR. LEO MICHAEL LUCCI |
| Other Name | LEO LUCCI |
| Credential | BS |
| Practice Address |
2465 Circleville Rd Unit 111 State College PA 16803-3390 |
| Practice Telephone | 8148615556 |
| Mailing Telephone | 8148615556 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP025948L | PA | Pharmacy Service Providers |
| Street Address |
2465 CIRCLEVILLE RD UNIT 111 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-3390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| 1073156253 | Naim Haque | Pharmacist | 430 Toftrees Ave Apt 220, State College, PA 16803-1912 | 2019-10-21 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1003249574 | Bruce Dalton Johnston | Pharmacist | 335 Willow Ave, State College, PA 16801-7236 | 2013-08-19 |
| 1750720496 | Laura C Pondel | Pharmacist | 381 Benner Pike, State College, PA 16801-7304 | 2013-06-16 |
| 1740579051 | David Cantu | Pharmacist | 1536 N Atherton St, State College, PA 16803-3041 | 2011-04-07 |
| 1730478140 | Gary Stroschein | Pharmacist | 1927 S Atherton St, State College, PA 16801-7606 | 2011-04-06 |
| 1851690218 | Debra Mcgregor | Pharmacist | 510 Westerly Pkwy, State College, PA 16801-5905 | 2011-03-23 |
| 1811058316 | Tedd P Niemi | Pharmacist | 724 S Atherton St Ste 100, State College, PA 16801-4628 | 2006-12-12 |
| 1215949763 | Philip Donald Mcintyre | Pharmacist | 724 S Atherton St, Suite 100, State College, PA 16801-4628 | 2006-08-13 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
Please comment or provide details below to improve the information on MR. LEO MICHAEL LUCCI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.