Organization Active NPI

Life Tree Pharmacy Services Incorporated

  • Long Term Care Pharmacy
  • Coraopolis, PA
National Provider Identifier
1154719128
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP482533 Issued in PA
Legal business name
LIFE TREE PHARMACY SERVICES INCORPORATED
Practice address
1996 Ewings Mill Rd
Coraopolis, PA 15108-3310
Phone
(412) 269-8605
Fax
(610) 487-0748
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Mark Taglianetti
Title
Ceo
Phone
(610) 489-6640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PP482533 PA Primary

Addresses

Primary practice location

1996 Ewings Mill Rd
Coraopolis, PA 15108-3310

Mailing address

1996 Ewings Mill Rd
Coraopolis, PA 15108-3310
Phone (412) 269-8605

Other identifiers 1

IdentifierTypeStateIssuer
2149471OtherPK

Other names 1

  • Life Tree Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1154719128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 EWINGS MILL RD",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151083310",
            "telephone_number": "412-269-8605",
            "fax_number": "610-487-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 EWINGS MILL RD",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151083310",
            "telephone_number": "412-269-8605",
            "fax_number": "610-487-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TREE PHARMACY SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "TAGLIANETTI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-489-6640"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP482533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Tree Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Tree Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coraopolis, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.