Momba Pharmacy Services LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MOMBA PHARMACY SERVICES LLC

Practice address

1435 Spring Garden Ave
Pittsburgh, PA 15212-3711

Phone

(412) 323-1801

Fax

(412) 323-1687

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Federico Depasquale

Title

President

Phone

(412) 323-1801

Specialties & licenses 1

Addresses

Other names 1

• WALTMIRE PHARMACY Doing business as

Tax ID family

Momba Pharmacy Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Momba Pharmacy Services LLC

  • Community/Retail Pharmacy
  • Monongahela, PA
  • NPI 1275801458
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1407618663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 SPRING GARDEN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152123711",
            "telephone_number": "412-323-1801",
            "fax_number": "412-323-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 SPRING GARDEN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152123711",
            "telephone_number": "412-323-1801",
            "fax_number": "412-323-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMBA PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "DEPASQUALE",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-323-1801"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALTMIRE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Molyneaux, M.P.T.
• Ryan John Molz
• Christian M Molzahn, MD
• Kenechukwu Momah, M.D.
• Momba Pharmacy Services LLC
• Matthew Momich, OPTICIAN
• Katerina Momiroska, LMSW
• Salamatu Momoh, MD
• Jeremiah David Momper, PHARMD
• Angela Nicole Monaco

• Long Term Care Pharmacy in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.