Organization Active NPI

Pleasant Hills Apothecary

  • Community/Retail Pharmacy
  • Clairton, PA
National Provider Identifier
1295888345
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413312L Issued in PA
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

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Kevin Evancic, RPHNPI 1417958539
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2082322OtherPK
0005576640001MedicaidPA

Other names 1

  • PLEASANT HILLS APOTHECARY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180122000265 PA Part B Supplier - Mass Immunization (Roster Biller Only) 8325167497 Practice locations: Jefferson Hills, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.