Individual provider Active NPI

Kiersten Lynn Badzgon, PHARMD

  • Pharmacist
  • Bridgeville, PA
National Provider Identifier
1003416702
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPI013326 Issued in PA
Practice address
500 Old Pond Rd
Bridgeville, PA 15017-1272
Phone
(412) 257-1263
Fax
(412) 257-1266
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
Yes

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPI013326PAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: rxpartners@upmcdirect.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPI013326 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

500 Old Pond Rd
Bridgeville, PA 15017-1272

Mailing address

100 Addie CT Apt 214
Pittsburgh, PA 15234-4219
Phone (412) 266-0643

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address rxpartners@upmcdirect.com Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2021.

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1003416702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ADDIE CT APT 214",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152344219",
            "telephone_number": "412-266-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD POND RD",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171272",
            "telephone_number": "412-257-1263",
            "fax_number": "412-257-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADZGON",
        "first_name": "KIERSTEN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RPI013326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxpartners@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure UPMC direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "500 Old Pond Rd",
            "city": "Bridgeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150171272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.