Individual provider Active NPI

Lucas Berenbrok, PHARMD

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1578995494
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP448933 Issued in PA
Practice address
636 Salk Hall
3501 Terrace St
Pittsburgh, PA 15261-1906
Phone
(412) 624-8109
NPI assigned
Aug 1, 2013
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP448933 PA Primary

Addresses

Primary practice location

636 Salk Hall
3501 Terrace St
Pittsburgh, PA 15261-1906

Mailing address

26 S 28TH St
Apt 203
Pittsburgh, PA 15203-2346

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP448933PAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: lucas.a.berenbrok@upmcdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1578995494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S 28TH ST",
            "address_2": "APT 203",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 SALK HALL",
            "address_2": "3501 TERRACE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152611906",
            "telephone_number": "412-624-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENBROK",
        "first_name": "LUCAS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP448933",
            "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 Aug 4, 2016; 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.