Active NPI
Doral Pharmaceuticals LLC
Doing business as Kevin's Shop n Save Pharmacy
- Community/Retail Pharmacy
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP415072L
- Legal business name
- DORAL PHARMACEUTICALS LLC
- Doing business as
- Kevin's Shop n Save Pharmacy
- Practice address
- 799 Castle Shannon Blvd
Pittsburgh, PA 15234-1601 - Phone
- (412) 561-2417
- Fax
- (412) 561-7418
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prudence Evancic
- Title
- President
- Phone
- (412) 561-2417
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP415072L | PA | Primary |
Addresses
Primary practice location
799 Castle Shannon Blvd
Pittsburgh, PA 15234-1601
Mailing address
799 Castle Shannon Blvd
Pittsburgh, PA 15234-1601
Phone (412) 561-2417
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101647428001 | Medicaid | PA | |
| 2083965 | Other | PK |
Other names 1
- Kevin's Shop n Save Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140415001353 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3375775810 | Practice locations: Pittsburgh, PA |
| O20230724000312 | PA | DME Supplier - Pharmacy | 3375775810 | Practice locations: Pittsburgh, PA |
National Provider Directory
National Provider Directory- Tax ID family
- Doral Pharmaceuticals LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Kevin's Shop n Save Pharmacy
- Long Term Care Pharmacy
- Pittsburgh, PA
- NPI 1841815792
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Kevin's Shop n Save Pharmacy
- Long Term Care Pharmacy
- Pittsburgh, PA
- NPI 1841815792
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Clairton, PA
- NPI 1730776006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700179200000",
"number": "1013938075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "799 CASTLE SHANNON BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152341601",
"telephone_number": "412-561-2417",
"fax_number": "412-561-7418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 CASTLE SHANNON BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152341601",
"telephone_number": "412-561-2417",
"fax_number": "412-561-7418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORAL PHARMACEUTICALS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A",
"authorized_official_last_name": "EVANCIC",
"authorized_official_first_name": "PRUDENCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "412-561-2417"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP415072L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101647428001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2083965",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kevin's Shop n Save Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.