NPIMap

Organization Active NPI

Spartan Pharmacy Inc.

Doing business as Spartan Pharmacy

  • Community/Retail Pharmacy
  • Brentwood, PA
National Provider Identifier
1508151226
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482127 Issued in PA
Legal business name
SPARTAN PHARMACY INC.
Doing business as
Spartan Pharmacy
Practice address
3520 Clairton Blvd
Brentwood, PA 15227-2720
Phone
(412) 440-5888
Fax
(412) 885-3070
NPI assigned
Jun 10, 2011
Last updated
Aug 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Mr. Adam Rice, RPHNPI 1578070173
Title
President
Phone
(412) 884-5650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482127 PA Primary

Addresses

Primary practice location

3520 Clairton Blvd
Brentwood, PA 15227-2720

Mailing address

3526 Brownsville Rd
Pittsburgh, PA 15227-3116
Phone (412) 884-5650

Other names 1

  • Spartan Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111212000846 PA Part B Supplier - Mass Immunization (Roster Biller Only) 5092994343 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brentwood, PA; Pittsburgh, PA; Bethel Park, PA
O20251113001404 PA DME Supplier - Pharmacy 5092994343 Practice locations: Brentwood, PA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Spartan Pharmacy Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1508151226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 BROWNSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152273116",
            "telephone_number": "412-884-5650",
            "fax_number": "412-884-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 CLAIRTON BLVD",
            "city": "BRENTWOOD",
            "state": "PA",
            "postal_code": "152272720",
            "telephone_number": "412-440-5888",
            "fax_number": "412-885-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTAN PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-884-5650",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP482127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spartan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spartan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.

Verify at the official NPI Registry.