Organization Active NPI

Soia LLC

  • Long Term Care Pharmacy
  • Pittsburgh, PA
National Provider Identifier
1497473284
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SOIA LLC
Doing business as
Bloomfield Drug Store
Bloomfield Drug Store LTC
Practice address
4727 Liberty Ave
Pittsburgh, PA 15224-2025
Phone
(412) 682-4909
Fax
(412) 682-6696
NPI assigned
Aug 17, 2022
Organization subpart
Yes
Parent organization
SOIA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Authorized official

Name
Kathryn Confer, PHARMDNPI 1518533454
Title
Owner
Phone
(412) 682-4909

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4727 Liberty Ave
Pittsburgh, PA 15224-2025

Mailing address

4727 Liberty Ave
Pittsburgh, PA 15224-2025
Phone (412) 682-4909

Other identifiers 1

IdentifierTypeStateIssuer
103964095MedicaidPA

Other names 2

  • Bloomfield Drug Store Doing business as
  • Bloomfield Drug Store LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soia LLC2 organizations share this tax ID, including this one
Part of
Soia LLC

Other organizations with this tax ID 1

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

Locations

4727 Liberty Ave
Pittsburgh, PA 15224
Phone (412) 682-4909

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1497473284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 LIBERTY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242025",
            "telephone_number": "412-682-4909",
            "fax_number": "412-682-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 LIBERTY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242025",
            "telephone_number": "412-682-4909",
            "fax_number": "412-682-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOIA LLC",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A",
        "authorized_official_last_name": "CONFER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-682-4909",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103964095",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Drug Store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bloomfield Drug Store LTC",
            "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 Sep 5, 2022; 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.