Organization Active NPI

Blueberry Pharmacy

  • Community/Retail Pharmacy
  • Pittsburgh, PA
National Provider Identifier
1609401926
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BLUEBERRY PHARMACY
Practice address
1018 W View Park Dr
Pittsburgh, PA 15229-1771
Phone
(412) 612-2279
Fax
(888) 852-4489
NPI assigned
Mar 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Dr. Kyle Richard McCormick, PHARMDNPI 1194124578
Title
Manager
Phone
(412) 612-2279

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1018 W View Park Dr
Pittsburgh, PA 15229-1771

Mailing address

1018 W View Park Dr
Pittsburgh, PA 15229-1771
Phone (412) 612-2279

Other identifiers 1

IdentifierTypeStateIssuer
PP482949OtherPABOARD OF PHARMACY PERMIT

National Provider Directory

National Provider Directory

Locations

1018 W View Park Dr
West View, PA 15229
Phone (412) 612-2279

Practitioners & affiliated clinicians

Practitioners 1

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": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1609401926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 W VIEW PARK DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152291771",
            "telephone_number": "412-612-2279",
            "fax_number": "888-852-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 W VIEW PARK DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152291771",
            "telephone_number": "412-612-2279",
            "fax_number": "888-852-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBERRY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "412-612-2279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PP482949",
            "state": "PA"
        }
    ],
    "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 Jun 17, 2025; 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.