Healthcare Provider Details

I. General information

NPI: 1508780420
Provider Name (Legal Business Name): CARMINA SIBETO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 VILLAGE CENTER DR
TARENTUM PA
15084-3844
US

IV. Provider business mailing address

404 STATE ROUTE 168
DARLINGTON PA
16115-2608
US

V. Phone/Fax

Practice location:
  • Phone: 724-274-1730
  • Fax:
Mailing address:
  • Phone: 724-971-8829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP460514
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: