Organization Active NPI

Presbyterian Seniorcare

  • Pharmacy
  • Oakmont, PA
National Provider Identifier
1700881992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
HP416587L Issued in PA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1007769120001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Seniorcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.