Active NPI
Garrett Sandidge
- Pharmacist
- Pittsburgh, PA
National Provider Identifier
1639547797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP449833
- Practice address
- 2501 Banksville Rd
Pittsburgh, PA 15216-2853 - Phone
- (412) 571-2550
- NPI assigned
- Sep 7, 2015
- Last updated
- Sep 7, 2015
- 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 | RP449833 | PA | Primary |
Addresses
Primary practice location
2501 Banksville Rd
Pittsburgh, PA 15216-2853
Mailing address
1424 Carnahan Rd
Pittsburgh, PA 15220-4013
Phone (412) 443-8255
Other names 1
- Garrett Grayson Sandidge
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 |
|---|---|---|---|
| RP449833 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441584000000",
"number": "1639547797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 CARNAHAN RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152204013",
"telephone_number": "412-443-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 BANKSVILLE RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152162853",
"telephone_number": "412-571-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDIDGE",
"first_name": "GARRETT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-07",
"last_updated": "2015-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP449833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GARRETT",
"last_name": "SANDIDGE",
"middle_name": "GRAYSON",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.