Professional Specialized Pharmacies LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

PP481378 Issued in PA

Legal business name

PROFESSIONAL SPECIALIZED PHARMACIES LLC

Practice address

2362 Golden Mile Hwy
Pittsburgh, PA 15239-2710

Phone

(724) 387-2260

Fax

(724) 387-2261

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Nairn, RPH

Title

Owner

Phone

(412) 921-7731

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hometown Pharmacy 03 Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Punxsy Hometown Pharmacy LLC

  • Community/Retail Pharmacy
  • Punxsutawney, PA
  • NPI 1699912543

  Member Of

  NPD member

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1407899693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 GOLDEN MILE HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152392710",
            "telephone_number": "724-387-2260",
            "fax_number": "724-387-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 GOLDEN MILE HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152392710",
            "telephone_number": "724-387-2260",
            "fax_number": "724-387-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SPECIALIZED PHARMACIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "NAIRN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-921-7731",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP481378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100748860014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy 03",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.