Active NPI
Pleasant Hills Apothecary
- Community/Retail Pharmacy
- Clairton, PA
National Provider Identifier
1295888345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP413312L
- Legal business name
- PLEASANT HILLS APOTHECARY
- Doing business as
- Pleasant Hills Apothecary
- Practice address
- 25 Gill Hall Rd
Clairton, PA 15025-3004 - Phone
- (412) 653-7566
- Fax
- (412) 653-0755
- NPI assigned
- Jan 20, 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
- Kevin Evancic, RPH
- Title
- Pharmacist and Owner
- Phone
- (412) 653-7566
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP413312L | PA | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
25 Gill Hall Rd
Clairton, PA 15025-3004
Mailing address
25 Gill Hall Rd
Clairton, PA 15025-3004
Phone (412) 653-7566
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2082322 | Other | PK | |
| 0005576640001 | Medicaid | PA |
Other names 1
- PLEASANT HILLS APOTHECARY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180122000265 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325167497 | Practice locations: Jefferson Hills, PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Pittsburgh, PA
- NPI 1417958539
-
- Pharmacist
- Clairton, PA
- NPI 1730776006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610409600000",
"number": "1295888345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 GILL HALL RD",
"city": "CLAIRTON",
"state": "PA",
"postal_code": "150253004",
"telephone_number": "412-653-7566",
"fax_number": "412-653-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 GILL HALL RD",
"city": "CLAIRTON",
"state": "PA",
"postal_code": "150253004",
"telephone_number": "412-653-7566",
"fax_number": "412-653-0755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT HILLS APOTHECARY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-20",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A",
"authorized_official_last_name": "EVANCIC",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PHARMACIST AND OWNER",
"authorized_official_telephone_number": "412-653-7566",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP413312L",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2082322",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005576640001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PLEASANT HILLS APOTHECARY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clairton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.