Organization Active NPI

Potomac Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Pittsburgh, PA
National Provider Identifier
1811069529
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411903L Issued in PA
Legal business name
POTOMAC PHARMACY, INC.
Practice address
1600 Potomac Ave
Pittsburgh, PA 15216-1980
Phone
(412) 531-8354
NPI assigned
Nov 15, 2006
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
Jeffery W Roseweir, RPHNPI 1912079633
Title
President
Phone
(412) 531-8354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP411903L PA Primary

Addresses

Primary practice location

1600 Potomac Ave
Pittsburgh, PA 15216-1980

Mailing address

1600 Potomac Ave
Pittsburgh, PA 15216-1980
Phone (412) 531-8354

Other identifiers 1

IdentifierTypeStateIssuer
0012319330001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811069529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 POTOMAC AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152161980",
            "telephone_number": "412-531-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 POTOMAC AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152161980",
            "telephone_number": "412-531-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSEWEIR",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-531-8354",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411903L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012319330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.