Active NPI
Mark David Yagodzinski, PHARM D
- Pharmacist
- Pittsburgh, PA
National Provider Identifier
1629494844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 50281
- Practice address
- 1 University Drive C
Pittsburgh, PA 15240-1000 - Phone
- (412) 360-6220
- NPI assigned
- Mar 12, 2014
- Sex
- Male
- 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 | PS 50281 | FL | Primary |
Addresses
Primary practice location
1 University Drive C
Pittsburgh, PA 15240-1000
Mailing address
1413 Mount Vernon Rd
Charleston, WV 25314-2531
Phone (859) 240-2635
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS 50281 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1629494844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 MOUNT VERNON RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253142531",
"telephone_number": "859-240-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY DRIVE C",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152401000",
"telephone_number": "412-360-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGODZINSKI",
"first_name": "MARK",
"middle_name": "DAVID",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-12",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 50281",
"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 Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.