Organization Active NPI

Med-Fast Pharmacy Inc

Doing business as Med-Fast Pharmacy

  • Community/Retail Pharmacy
  • West Mifflin, PA
National Provider Identifier
1750306361
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MED-FAST PHARMACY INC
Doing business as
Med-Fast Pharmacy
Practice address
1886 Homeville Rd
West Mifflin, PA 15122-3650
Phone
(412) 346-0220
Fax
(412) 346-0222
NPI assigned
Jul 13, 2006
Last updated
Jan 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Lisa Brosky
Title
Billing Manager
Phone
(724) 378-5325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP481515 PA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1886 Homeville Rd
West Mifflin, PA 15122-3650

Mailing address

2003 Sheffield Rd
Aliquippa, PA 15001-2758

Other identifiers 2

IdentifierTypeStateIssuer
3985073OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1007458630042MedicaidPA

Other names 1

  • MED-FAST PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1886 Homeville Rd
West Mifflin, PA 15122
Phone (412) 346-0220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1750306361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 SHEFFIELD RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150012758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 HOMEVILLE RD",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151223650",
            "telephone_number": "412-346-0220",
            "fax_number": "412-346-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-FAST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "BROSKY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "724-378-5325"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481515",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3985073",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007458630042",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED-FAST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Mifflin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.