Active NPI
Presbyterian Seniorcare
- Pharmacy
- Oakmont, PA
National Provider Identifier
1700881992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- HP416587L
- Legal business name
- PRESBYTERIAN SENIORCARE
- Practice address
- 1215 Hulton Rd
Oakmont, PA 15139-1135 - Phone
- (412) 826-6032
- Fax
- (412) 826-6061
- NPI assigned
- Jun 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew E. Mangene
- Title
- Sr. Vice President/Cfo
- Phone
- (412) 826-6081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | HP416587L | PA | Primary |
Addresses
Primary practice location
1215 Hulton Rd
Oakmont, PA 15139-1135
Mailing address
1215 Hulton Rd
Oakmont, PA 15139-1135
Phone (412) 826-6032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007769120001 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Presbyterian Seniorcare
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Washington, PA
- NPI 1578407052
-
- Adult Day Care Clinic/Center
- Oakmont, PA
- NPI 1982561536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700881992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 HULTON RD",
"city": "OAKMONT",
"state": "PA",
"postal_code": "151391135",
"telephone_number": "412-826-6032",
"fax_number": "412-826-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 HULTON RD",
"city": "OAKMONT",
"state": "PA",
"postal_code": "151391135",
"telephone_number": "412-826-6032",
"fax_number": "412-826-6061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESBYTERIAN SENIORCARE",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MANGENE",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "SR. VICE PRESIDENT/CFO",
"authorized_official_telephone_number": "412-826-6081",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "HP416587L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007769120001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakmont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.