NPIMap

Organization Active NPI

Deparment of Military Affairs Commonwealth of Pennsylvanaia

Doing business as Southerwestern Veterans Center Pharmacy

  • Long Term Care Pharmacy
  • Pittsburgh, PA
National Provider Identifier
1770930141
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
DEPARMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANAIA
Doing business as
Southerwestern Veterans Center Pharmacy
Practice address
7060 Highland Dr
Pittsburgh, PA 15206-1259
Phone
(412) 665-6706
Fax
(412) 665-6799
NPI assigned
May 16, 2016
Last updated
May 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANAIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Mr. Thomas Reed Jr.
Title
Fiscal Services Administrator
Phone
(814) 242-7789

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP482631 PA
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

7060 Highland Dr
Pittsburgh, PA 15206-1259

Mailing address

7060 Highland Dr
Pittsburgh, PA 15206-1259
Phone (412) 665-6706

Other identifiers 2

IdentifierTypeStateIssuer
1007378250015MedicaidPA
022187OtherPAMEDICARE PTAN

Other names 1

  • Southerwestern Veterans Center Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120919000056 PA Part B Supplier - Pharmacy 1557320348 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Spring City, PA; Scranton, PA; Pittsburgh, PA; Erie, PA; Duncansville, PA; Philadelphia, PA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth of PA12 organizations share this tax ID, including this one
Part of
Commonwealth of PA

Other organizations with this tax ID 11

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": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1770930141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7060 HIGHLAND DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061259",
            "telephone_number": "412-665-6706",
            "fax_number": "412-665-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 HIGHLAND DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061259",
            "telephone_number": "412-665-6706",
            "fax_number": "412-665-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANAIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANAI",
        "enumeration_date": "2016-05-16",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "FISCAL SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "814-242-7789",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP482631",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007378250015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "022187",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southerwestern Veterans Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southerwestern Veterans Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.