Individual provider Active NPI

Thomas Clark Riley, RPH

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1003412362
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP031918L Issued in PA
Practice address
Lebanon Shops Pharmacy
300 Mt Lebanon Blvd
Pittsburgh, PA 15234
Phone
(412) 670-9781
Fax
(412) 344-5223
NPI assigned
Dec 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP031918L PA Primary

Addresses

Primary practice location

Lebanon Shops Pharmacy
300 Mt Lebanon Blvd
Pittsburgh, PA 15234

Mailing address

Lebanon Shops Pharmacy
300 Mt Lebanon Blvd
Pittsburgh, PA 15234
Phone (412) 670-9781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP031918LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gene a Riley & Thomas C Riley PTRS CurrentSince May 12, 2024 Accepting new patients
Gene a Riley & Thomas C Riley PTRS CurrentSince Dec 13, 2020 Accepting new patients

Locations

300 Mount Lebanon Blvd
Ste 23
Pittsburgh, PA 15234
Phone (412) 344-6700

300 Mount Lebanon Blvd
Pittsburgh, PA 15234
Phone (412) 344-6700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1003412362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LEBANON SHOPS PHARMACY",
            "address_2": "300 MT LEBANON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15234",
            "telephone_number": "412-670-9781",
            "fax_number": "412-344-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEBANON SHOPS PHARMACY",
            "address_2": "300 MT LEBANON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15234",
            "telephone_number": "412-670-9781",
            "fax_number": "412-344-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "THOMAS",
        "middle_name": "CLARK",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP031918L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.