Active NPI
Tanya Kotenoglou
- Pharmacist
- South Park, PA
National Provider Identifier
1023498508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP044124R
- Practice address
- 6375 Library Rd
South Park, PA 15129-8502 - Phone
- (412) 831-8350
- NPI assigned
- Jun 1, 2015
- Last updated
- Jun 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP044124R | PA | Primary |
Addresses
Primary practice location
6375 Library Rd
South Park, PA 15129-8502
Mailing address
106 Kathy Ann LN
MC Murray, PA 15317-3200
Phone (412) 217-9120
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP044124R | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients | |
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 01589
- Community/Retail Pharmacy
- South Park, PA
- NPI 1164511812
-
- Community/Retail Pharmacy
- Clearfield, PA
- NPI 1508431081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1023498508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 KATHY ANN LN",
"city": "MC MURRAY",
"state": "PA",
"postal_code": "153173200",
"telephone_number": "412-217-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6375 LIBRARY RD",
"city": "SOUTH PARK",
"state": "PA",
"postal_code": "151298502",
"telephone_number": "412-831-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTENOGLOU",
"first_name": "TANYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP044124R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Park, PA
- Stacy Lynn Fiorentini, PHARM.D.
- Five Star Quality Care - GHV, LLC (Mount Vernon of South Park)
- Dawn Marie Friend, PSYD MSCP
- Kelli Haberman, OTR/L
- Mary Ann Hartman, R.N.
- Jennifer A Laskosky
- Lisa Lehrman
- Library Pharmacy Inc. (Prescription Center Plus)
- Emily Michele Linder
- Gabriella Emmari Locke, PHD, LPC, CSAT, CATP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.