Individual provider Active NPI

Susan Jean Skledar, R.PH.

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1588779128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP-035949-L Issued in PA
Practice address
200 Lothrop St
302 Scaife Hall (University of Pittsburgh Medical CNTR)
Pittsburgh, PA 15213-2536
Phone
(412) 647-6424
Fax
(412) 647-1605
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP-035949-L PA Primary

Addresses

Primary practice location

200 Lothrop St
302 Scaife Hall (University of Pittsburgh Medical CNTR)
Pittsburgh, PA 15213-2536

Mailing address

712 Illini Dr
Monroeville, PA 15146-1920
Phone (724) 325-3012

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP-035949-LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588779128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 ILLINI DR",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461920",
            "telephone_number": "724-325-3012",
            "fax_number": "412-647-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "302 SCAIFE HALL (UNIVERSITY OF PITTSBURGH MEDICAL CNTR)",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-6424",
            "fax_number": "412-647-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLEDAR",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "name_prefix": "Prof.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP-035949-L",
            "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 Jul 8, 2007; 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.