Active NPI
Jordan Pestok, PHARMD
- Pharmacist
- MC Kees Rocks, PA
National Provider Identifier
1093438202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP457203
- Practice address
- 1700 Pine Hollow Rd
MC Kees Rocks, PA 15136-1578 - Phone
- (412) 771-6366
- NPI assigned
- Sep 22, 2022
- 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 | RP457203 | PA | Primary |
Addresses
Primary practice location
1700 Pine Hollow Rd
MC Kees Rocks, PA 15136-1578
Mailing address
149 William Cir
MC Kees Rocks, PA 15136-2053
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP457203 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug Inc | 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 and National Provider Directory roles.
-
dba Rite Aid Pharmacy 10914
- Community/Retail Pharmacy
- MC Kees Rocks, PA
- NPI 1962501213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1093438202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 WILLIAM CIR",
"city": "MC KEES ROCKS",
"state": "PA",
"postal_code": "151362053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 PINE HOLLOW RD",
"city": "MC KEES ROCKS",
"state": "PA",
"postal_code": "151361578",
"telephone_number": "412-771-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESTOK",
"first_name": "JORDAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-22",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP457203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MC Kees Rocks, PA
- Pathology and Nuclear Medicine of Pittsburgh
- Patricia J. Pecori, MSN, CRNP
- Amanda Pegher, LPC
- Carolyn Marie Penco, LCSW
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy # 00258)
- Thomas William Petrisko, DC
- Mary Katherine Pfeffer, MPT, ATC
- Physical Therapy & Health Center, Inc. (Robinson Physical Therapy & Health Center, Inc.)
- Jaime Lynn Piccola, NP-C
- Pittsburgh Heart & Vascular PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.