Individual provider Active NPI

Michele A Schrecengost Kibbey, RPH

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1104922616
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP039419L Issued in PA
Practice address
120 5TH Ave
Ste 1812
Pittsburgh, PA 15222-3000
Phone
(412) 544-5000
Fax
(412) 544-4527
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP039419L PA Primary

Addresses

Primary practice location

120 5TH Ave
Ste 1812
Pittsburgh, PA 15222-3000

Mailing address

3215 Greenwald Rd
Bethel Park, PA 15102-1236
Phone (412) 833-8454

Other identifiers 1

IdentifierTypeStateIssuer
RP0394419LOtherPAPA STATE LICENSE

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP039419LPAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1104922616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 GREENWALD RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021236",
            "telephone_number": "412-833-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 5TH AVE",
            "address_2": "STE 1812",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223000",
            "telephone_number": "412-544-5000",
            "fax_number": "412-544-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRECENGOST KIBBEY",
        "first_name": "MICHELE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP039419L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE",
            "identifier": "RP0394419L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 6, 2012; 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.