Active NPI
Jodie Eckenrod
- Pharmacist
- Pittsburgh, PA
National Provider Identifier
1518454552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP041901L
- Practice address
- 955 Rivermont Dr
Pittsburgh, PA 15207-1347 - Phone
- (412) 422-6800
- NPI assigned
- Apr 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 | RP041901L | PA | Primary |
Addresses
Primary practice location
955 Rivermont Dr
Pittsburgh, PA 15207-1347
Mailing address
2903 Big Meadow CT
Bridgeville, PA 15017-1601
Phone (412) 257-9797
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 |
|---|---|---|---|
| RP041901L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1518454552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2903 BIG MEADOW CT",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150171601",
"telephone_number": "412-257-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 RIVERMONT DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152071347",
"telephone_number": "412-422-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKENROD",
"first_name": "JODIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-16",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP041901L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.