Active NPI
Primary Care Pharmacy Services Inc
- Community/Retail Pharmacy
- Monroeville, PA
National Provider Identifier
1215088208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP481636
- Legal business name
- PRIMARY CARE PHARMACY SERVICES INC
- Doing business as
- Primary Care Pharmacy Services Inc
- Practice address
- 2550 Mosside Blvd
Ste 210
Monroeville, PA 15146-3540 - Phone
- (412) 380-5230
- Fax
- (412) 380-5233
- NPI assigned
- Jan 16, 2007
- 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
- Anthony Bertola, RPH
- Title
- Owner Phcst
- Phone
- (412) 583-6332
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP481636 | PA | Primary |
Addresses
Primary practice location
2550 Mosside Blvd
Ste 210
Monroeville, PA 15146-3540
Mailing address
2550 Mosside Blvd
Ste 210
Monroeville, PA 15146-3540
Phone (412) 380-5230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101873732-0001 | Medicaid | PA | |
| 2081758 | Other | PK |
Other names 1
- PRIMARY CARE PHARMACY SERVICES INC
National Provider Directory
National Provider DirectoryLocations
2550 Mosside Blvd
Ste 210
Monroeville, PA 15146
Phone (412) 380-5230
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Monroeville, PA
- NPI 1952761587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475539200000",
"number": "1215088208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 MOSSIDE BLVD",
"address_2": "STE 210",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463540",
"telephone_number": "412-380-5230",
"fax_number": "412-380-5233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 MOSSIDE BLVD",
"address_2": "STE 210",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463540",
"telephone_number": "412-380-5230",
"fax_number": "412-380-5233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE PHARMACY SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2016-10-04",
"status": "A",
"authorized_official_last_name": "BERTOLA",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER PHCST",
"authorized_official_telephone_number": "412-583-6332",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP481636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101873732-0001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2081758",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PRIMARY CARE PHARMACY SERVICES INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.