Individual provider Active NPI

Kyle Richard McCormick, PHARMD

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1194124578
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP448649 Issued in PA
Practice address
1018 W View Park Dr
Pittsburgh, PA 15229-1771
Phone
(412) 612-2279
NPI assigned
Aug 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP448649 PA Primary

Addresses

Primary practice location

1018 W View Park Dr
Pittsburgh, PA 15229-1771

Mailing address

1018 W View Park Dr
Pittsburgh, PA 15229-1771
Phone (412) 612-2279

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

LicenseStateTypeSpecialty
RP448649PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Blueberry Pharmacy CurrentSince Mar 22, 2020 Accepting new patients
William J. Gatti, Inc Past Accepting new patients

Locations

1018 W View Park Dr
West View, PA 15229
Phone (412) 612-2279

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.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1194124578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 W VIEW PARK DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152291771",
            "telephone_number": "412-612-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 W VIEW PARK DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152291771",
            "telephone_number": "412-612-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "KYLE",
        "middle_name": "RICHARD",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-21",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP448649",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 11, 2020; 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.