Active NPI
Life Tree Pharmacy Services Incorporated
- Long Term Care Pharmacy
- Coraopolis, PA
National Provider Identifier
1154719128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PP482533
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2149471 | Other | PK |
Other names 1
- Life Tree Pharmacy
National Provider Directory
National Provider DirectoryNPI 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.