Active NPI
Kimberly Ann Padezanin
- Pharmacist
- Moon Township, PA
National Provider Identifier
1376866814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP038171L
- Practice address
- 2000 Market Place Blvd
Moon Township, PA 15108-9737 - Phone
- (412) 859-0136
- NPI assigned
- Mar 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP038171L | PA | Primary |
Addresses
Primary practice location
2000 Market Place Blvd
Moon Township, PA 15108-9737
Mailing address
214 Herbst Road
Coraopolis, PA 15108
Phone (412) 861-7039
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP038171L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1376866814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 HERBST ROAD",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "15108",
"telephone_number": "412-861-7039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MARKET PLACE BLVD",
"city": "MOON TOWNSHIP",
"state": "PA",
"postal_code": "151089737",
"telephone_number": "412-859-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADEZANIN",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-11",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP038171L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moon Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.