Active NPI
Pantherx Specialty LLC
- Specialty Pharmacy
- Pittsburgh, PA
National Provider Identifier
1316213531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- PP482247
- Legal business name
- PANTHERX SPECIALTY LLC
- Practice address
- 24 Summit Park Dr Ste 101
Pittsburgh, PA 15275-1104 - Phone
- (855) 726-8479
- Fax
- (855) 246-3986
- NPI assigned
- Apr 2, 2012
- 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
- Robert Snyder
- Title
- Ceo
- Phone
- (855) 726-8479
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Specialty Pharmacy | 3336S0011X | PP482247 | PA | Primary |
Addresses
Primary practice location
24 Summit Park Dr Ste 101
Pittsburgh, PA 15275-1104
Mailing address
121 Bayer Rd BLDG 5
Pittsburgh, PA 15205-9706
Phone (855) 726-8479
Other identifiers 40
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102702417-0002 | Medicaid | PA | |
| 1316213531 | Medicaid | CA | |
| 1316213531 | Medicaid | RI | |
| 250630455 | Medicaid | DE | |
| 7P2247 | Medicaid | SC | |
| 100264611-00 | Medicaid | NE | |
| 10244270001 | Medicaid | VT | |
| 1316213531 | Medicaid | IA | |
| 3129668 | Medicaid | NH | |
| 089545 | Medicaid | AZ | |
| 1316213531 | Medicaid | HI | |
| 1316213531 | Medicaid | ID | |
| 44674279 | Medicaid | CO | |
| 7100341470 | Medicaid | KY | |
| 100043114 | Medicaid | WI | |
| 100539753 | Medicaid | NV | |
| 1316213531 | Medicaid | WV | |
| 1626551 | Medicaid | AK | |
| 3971780 | Medicaid | NY | |
| 01236278 | Medicaid | MS | |
| 1316213531 | Medicaid | MN | |
| 201264310A | Medicaid | IN | |
| 3001506964 | Medicaid | VA | |
| 0484733 | Medicaid | NJ | |
| 1316213531 | Medicaid | UT | |
| 2014364 | Medicaid | SD | |
| 014478100 | Medicaid | FL | |
| 100030597 | Medicaid | MT | |
| 1316213531 | Medicaid | NC | |
| 1486930 | Medicaid | ND | |
| 500681864 | Medicaid | OR | |
| 542113600 | Medicaid | MD | |
| 9828541 | Medicaid | NM | |
| Q044074 | Medicaid | TN | |
| 1316213531 | Medicaid | ME | |
| 1316213531 | Medicaid | MI | |
| 1316213531 | Medicaid | CT | |
| 200566670A | Medicaid | OK | |
| 2049045 | Medicaid | WA | |
| 2208331 | Medicaid | LA |
Other names 1
- PANTHERx Specialty Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120601000087 | PA | Part B Supplier - Pharmacy | 9032372016 |
1 other NPI on this enrollment Practice locations: Coraopolis, PA; Pittsburgh, PA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
24 Summit Park Dr
Ste 101
Pittsburgh, PA 15275
Phone (855) 726-8479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
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{
"country_code": "US",
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"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 BAYER RD BLDG 5",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152059706",
"telephone_number": "855-726-8479",
"fax_number": "855-246-3986"
},
{
"country_code": "US",
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"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SUMMIT PARK DR STE 101",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152751104",
"telephone_number": "855-726-8479",
"fax_number": "855-246-3986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANTHERX SPECIALTY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-02",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "855-726-8479"
},
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{
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{
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},
{
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{
"code": "05",
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"issuer": null,
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"state": "MI"
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{
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"issuer": null,
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"state": "CT"
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"code": "05",
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"endpoints": [],
"other_names": [
{
"organization_name": "PANTHERx Specialty Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}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 Feb 4, 2025; 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.