Active NPI
Timothy Gannon
- Pharmacist
- Allison Park, PA
National Provider Identifier
1073993630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP045848L
- Practice address
- 4960 William Flynn Hwy
Allison Park, PA 15101-2354 - Phone
- (724) 443-5455
- NPI assigned
- Jun 8, 2015
- Sex
- Male
- 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 | RP045848L | PA | Primary |
Addresses
Primary practice location
4960 William Flynn Hwy
Allison Park, PA 15101-2354
Mailing address
4960 William Flynn Hwy
Allison Park, PA 15101-2354
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 |
|---|---|---|---|
| RP045848L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacist
- Allison Park, PA
- NPI 1588079909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1073993630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4960 WILLIAM FLYNN HWY",
"city": "ALLISON PARK",
"state": "PA",
"postal_code": "151012354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4960 WILLIAM FLYNN HWY",
"city": "ALLISON PARK",
"state": "PA",
"postal_code": "151012354",
"telephone_number": "724-443-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANNON",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-08",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP045848L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allison Park, PA
- Fresh Perspectives Counseling
- Amber Friend, LCSW
- Melissa Pacatang Frost, LAPC
- Jennifer Hope Gallagher, DO
- Carole S Galletta, PT
- Jose P George, MD, PH.D., CMD
- Linda Ann Gold, PTA
- Golden Rule Home Care LLC (Golden Rule Home Care)
- Susan Graff, PA-C
- Greater Pittsburgh Medical Associates - Upmc - Hampton (UPMC Community Medicine Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.